TWI615405B - Il-1 binding proteins - Google Patents

Il-1 binding proteins Download PDF

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Publication number
TWI615405B
TWI615405B TW104144064A TW104144064A TWI615405B TW I615405 B TWI615405 B TW I615405B TW 104144064 A TW104144064 A TW 104144064A TW 104144064 A TW104144064 A TW 104144064A TW I615405 B TWI615405 B TW I615405B
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TW
Taiwan
Prior art keywords
antibody
binding
human
antibodies
binding protein
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TW104144064A
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Chinese (zh)
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TW201636365A (en
Inventor
吳陳賓
多明尼克J 安伯西
辛瓊明
塔瑞克 蓋由
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艾伯維有限公司
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Publication of TW201636365A publication Critical patent/TW201636365A/en
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/24Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
    • C07K16/244Interleukins [IL]
    • C07K16/245IL-1
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39533Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
    • A61K39/3955Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
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    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
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    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/68Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
    • A61K47/6835Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
    • A61K47/6875Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody being a hybrid immunoglobulin
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Abstract

本發明描述結合IL-1α及IL-1β之蛋白質,以及其在用於治療、預防及診斷IL-1相關病症以及用於偵測細胞、組織、樣本及組合物中之IL-1α及IL-1β之組合物及方法中的用途。 The present invention describes proteins that bind IL-1α and IL-1β, and their use in the treatment, prevention, and diagnosis of IL-1 related disorders and in the detection of cells, tissues, samples, and compositions of IL-1α and IL- Use of 1β composition and method.

Description

IL-1結合蛋白 IL-1 binding protein

本發明係關於IL-1結合蛋白,且特定言之係關於其用於預防及/或治療諸如類風濕性關節炎、骨關節炎、牛皮癬、多發性硬化症及其他自體免疫疾病之急性及慢性免疫疾病的用途。 The present invention relates to IL-1 binding proteins and, in particular, to their use in the prevention and / or treatment of acute and rheumatoid arthritis, osteoarthritis, psoriasis, multiple sclerosis and other autoimmune diseases. Use for chronic immune disease.

相關申請案之交叉參考 Cross-reference to related applications

本申請案主張2010年5月14日申請之美國臨時申請案第61/334,917號及2010年12月21日申請之美國臨時申請案第61/425,701號之優先權權益,該等文獻之內容係以全文引用的方式併入本文中。 This application claims the priority right of US Provisional Application No. 61 / 334,917 filed on May 14, 2010 and US Provisional Application No. 61 / 425,701 filed on December 21, 2010. The content of these documents is Incorporated herein by reference in its entirety.

諸如介白素-1(IL-1)及腫瘤壞死因子(TNF)之細胞激素為由諸如單核細胞及巨噬細胞之多種細胞所產生之分子,其為發炎過程之介體。介白素-1為具有廣泛生物及生理效應之細胞激素,該等效應包括發燒、前列腺素合成(在例如纖維母細胞、肌肉細胞及內皮細胞中)、T淋巴細胞活化及介白素-2產生。 Cytokines such as interleukin-1 (IL-1) and tumor necrosis factor (TNF) are molecules produced by various cells such as monocytes and macrophages, which are mediators of the inflammatory process. Interleukin-1 is a cytokine with a wide range of biological and physiological effects, including fever, prostaglandin synthesis (in, for example, fibroblasts, muscle cells, and endothelial cells), T lymphocyte activation, and interleukin-2 produce.

IL-1超家族之原始成員為IL-1α、IL-1β及IL-1受體拮抗劑(IL-1Ra、IL-1RA、IL-1ra、IL-1Rα)。IL-1α及IL-1β為針對感染之免疫防禦中所涉及之促發炎性細胞激素。IL-1Rα為與IL-1α及IL-1β競爭結合受體,從而阻斷IL-1α及IL-1β在免疫活化中之作用的分子。近年來,已有其他分子加入IL-1超家族中,包括IL-18(參見Dinarello等人,FASEB J.,8(15):1314-3225(1994);Huising等人,Dev.Comp.Immunol., 28(5):395-413(2004))及另外六種與IL-1α、IL-1β或IL-1RA具有結構同源性之基因。此後面六個成員被命名為IL1F5、IL1F6、IL1F7、IL1F8、IL1F9及IL1F10。相應地,IL-1α、IL-1β及IL-1RA已分別更名為IL-1F1、IL-1F2及IL-1F3(參見Sims等人,Trends Immunol.,22(10):536-537(2001);Dunn等人,Trends Immunol.,22(10):533-536(2001))。已描述IL-1家族之另一稱為IL-33或IL-1F11之推定成員,但此名稱未被HGNC基因家族命名資料庫正式接受。 The original members of the IL-1 superfamily are IL-1α, IL-1β, and IL-1 receptor antagonists (IL-1Ra, IL-1RA, IL-1ra, IL-1Rα). IL-1α and IL-1β are pro-inflammatory cytokines involved in immune defense against infection. IL-1Rα is a molecule that competes with IL-1α and IL-1β for binding to the receptor, thereby blocking the role of IL-1α and IL-1β in immune activation. In recent years, other molecules have been added to the IL-1 superfamily, including IL-18 (see Dinarello et al., FASEB J., 8 (15): 1314-3225 (1994); Huising et al., Dev . Comp. Immunol . , 28 (5): 395-413 (2004)) and six other genes with structural homology to IL-1α, IL-1β or IL-1RA. The last six members are named IL1F5, IL1F6, IL1F7, IL1F8, IL1F9, and IL1F10. Accordingly, IL-1α, IL-1β, and IL-1RA have been renamed IL-1F1, IL-1F2, and IL-1F3, respectively (see Sims et al., Trends Immunol. , 22 (10): 536-537 (2001) ; Dunn et al., Trends Immunol. , 22 (10): 533-536 (2001)). Another putative member of the IL-1 family called IL-33 or IL-1F11 has been described, but this name has not been formally accepted by the HGNC gene family naming database.

IL-1α與IL-1β均由巨噬細胞、單核細胞及樹突狀細胞產生。其構成體內針對感染之發炎反應的重要部分。此等細胞激素增加內皮細胞上黏著因子之表現以使對抗病原體之白血球能夠轉移至感染位點且重設下丘腦體溫調控中樞,從而使體溫升高,本身表現為發燒。因此,IL-1被稱為內源性熱原。體溫升高有助於身體免疫系統對抗感染。IL-1在調控血細胞生成方面亦較重要。周邊組織中IL-1β之產生亦與跟發燒相關之痛覺過敏(對疼痛之敏感性增加)有關(Morgan等人,Brain Res.,1022(1-2):96-100(2004))。在大多數情況下,此兩種形式之IL-1與相同細胞受體結合。此受體由兩個相關、但不相同之次單元組成,該等次單元經由通常與某些其他受體共用之路徑傳輸細胞內信號。此類受體包括Toll家族之先天免疫受體及IL-18受體。IL-1α及IL-1β亦具有類似生物性質,包括誘導發燒、慢波睡眠及嗜中性白血球增多,活化T淋巴細胞及B淋巴細胞,使纖維母細胞增殖,對某些細胞具細胞毒性,誘導膠原酶,合成肝臟急性期蛋白,及增加群落刺激因子及膠原蛋白產生。 IL-1α and IL-1β are produced by macrophages, monocytes and dendritic cells. It forms an important part of the inflammatory response to infection in the body. These cytokines increase the expression of adhesion factors on endothelial cells so that white blood cells that fight pathogens can be transferred to the site of infection and reset the hypothalamic temperature regulation center, thereby raising body temperature and manifesting itself as a fever. Therefore, IL-1 is called endogenous pyrogen. Increased body temperature helps the body's immune system fight infection. IL-1 is also important in regulating blood cell production. The production of IL-1β in peripheral tissues is also associated with fever-related hyperalgesia (increased sensitivity to pain) (Morgan et al., Brain Res., 1022 (1-2): 96-100 (2004)). In most cases, these two forms of IL-1 bind to the same cellular receptor. This receptor consists of two related, but not identical, subunits that transmit intracellular signals via a path that is commonly shared with some other receptors. Such receptors include the innate immune receptor and the IL-18 receptor of the Toll family. IL-1α and IL-1β also have similar biological properties, including the induction of fever, slow wave sleep and neutrophil increase, activation of T lymphocytes and B lymphocytes, proliferation of fibroblasts, and cytotoxicity to certain cells. Induces collagenase, synthesizes acute liver protein, and increases community stimulating factors and collagen production.

已分離及表現編碼兩種不同形式之IL-1的cDNA;此等cDNA表示兩種不同基因產物,稱為IL-1β(Auron等人,Proc.Natl.Acad.Sci.USA,81:7907-7911(1984))及IL-1α(Lomedico等人,Nature,312:458-462(1984))。IL-1β為在mRNA層面與蛋白質層面上由人類單核細胞所產 生之主要形式。兩種形式之人類IL-1僅共有26%之胺基酸同源性。儘管其多肽序列不同,但兩種形式之IL-1具有結構相似性(Auron等人,J.Mol.Cell Immunol.,2:169-177(1985)),其相似性在於胺基酸同源性侷限在IL-1分子之個別區域。 CDNAs encoding two different forms of IL-1 have been isolated and expressed; these cDNAs represent two different gene products called IL-1β (Auron et al., Proc. Natl. Acad. Sci. USA, 81: 7907- 7911 (1984)) and IL-1α (Lomedico et al., Nature, 312: 458-462 (1984)). IL-1β is the main form produced by human monocytes at the mRNA and protein levels. Both forms of human IL-1 share only 26% amino acid homology. Although their polypeptide sequences are different, the two forms of IL-1 have structural similarity (Auron et al., J. Mol. Cell Immunol. , 2: 169-177 (1985)), and their similarity lies in amino acid homology Sexuality is limited to individual regions of the IL-1 molecule.

IL-1α及IL-1β以前驅肽形式產生。換言之,其係以長蛋白質形式製備,隨後進行處理以釋放較短的活性分子,其被稱為成熟蛋白質。舉例而言,前IL-1β在由蛋白質之卡斯蛋白酶(caspase)家族之某一成員(稱為卡斯蛋白酶-1或介白素-1轉化酶(ICE))裂解之後,釋放出成熟IL-1β。成熟形式之各人類IL-1超家族成員之三維結構由12-14個產生桶形蛋白質之β股組成。 IL-1α and IL-1β are produced as precursor peptides. In other words, it is prepared as a long protein and then processed to release shorter active molecules, which are called mature proteins. For example, pro-IL-1β releases mature IL after being cleaved by a member of the protein's caspase family (known as Cassin-1 or interleukin-1 converting enzyme (ICE)). -1β. The three-dimensional structure of each human IL-1 superfamily member in mature form consists of 12-14 beta strands producing barrel proteins.

儘管自發現此關鍵促發炎性細胞激素以來的近二十幾年研究中已描述IL-1之多種抗體,但仍需要可在發炎反應及自體免疫病症中有效介導或中和IL-1活性之改良抗體且需要用於偵測樣本及組織中之IL-1β。 Although a number of antibodies to IL-1 have been described in the last two decades of research since the discovery of this key pro-inflammatory cytokine, there remains a need for IL-1 to be effective in mediating or neutralizing inflammatory responses and autoimmune disorders Improved activity antibodies are needed to detect IL-1β in samples and tissues.

本發明係關於結合人類IL-1α及IL-1β之蛋白質。本發明之結合蛋白包括(但不限於)可結合人類IL-1α及IL-1β之抗體、其抗原結合部分及多價、多特異性結合蛋白,諸如DVD-IgTM結合蛋白。本發明亦提供製備及使用本文所述之IL-1α及IL-1β結合蛋白的方法,以及可用於偵測樣本中之IL-1α及IL-1β之方法或治療或預防與IL-1活性相關或疑似與IL-1活性相關之個體病症之方法中的各種組合物。 The present invention relates to proteins that bind human IL-1α and IL-1β. The binding proteins of the present invention include, but are not limited to, antibodies capable of binding human IL-1α and IL-1β, their antigen-binding portions, and multivalent, multispecific binding proteins, such as DVD-Ig binding protein. The present invention also provides methods for preparing and using the IL-1α and IL-1β binding proteins described herein, as well as methods or treatments or preventions that can be used to detect IL-1α and IL-1β in a sample and are related to IL-1 activity. Or various compositions in a method of an individual disorder suspected of being associated with IL-1 activity.

在一實施例中,本發明提供一種包含第一及第二多肽鏈之結合蛋白,其中該第一多肽鏈包含第一VD1-(X1)n-VD2-C-(X2)n,其中:VD1為第一重鏈可變域;VD2為第二重鏈可變域;C為重鏈恆定域; X1為連接子,限制條件為其不為CH1;X2為Fc區;且n獨立地為0或1;且其中該第二多肽鏈包含第二VD1-(X1)n-VD2-C-(X2)n,其中:VD1為第一輕鏈可變域;VD2為第二輕鏈可變域;C為輕鏈恆定域;X1為連接子,限制條件為其不為CH1;X2不包含Fc區;且n獨立地為0或1;其中,在該第一多肽鏈中,VD1包含選自由SEQ ID NO:60-148、196、198、200、202、204、206、208及210組成之群的胺基酸序列;且VD2包含選自由SEQ ID NO:213及227組成之群的胺基酸序列;其中,在該第二多肽鏈中,VD1包含選自由SEQ ID NO:149-189、197、199、201、203、205、207、209及211組成之群的胺基酸序列;且VD2包含選自由SEQ ID NO:216及229組成之群的胺基酸序列;且其中該結合蛋白結合人類IL-1β及人類IL-1α。 In one embodiment, the present invention provides a binding protein comprising a first and a second polypeptide chain, wherein the first polypeptide chain comprises a first VD1- (X1) n-VD2-C- (X2) n, wherein : VD1 is the first heavy chain variable domain; VD2 is the second heavy chain variable domain; C is the heavy chain constant domain; X1 is a linker, with the limitation that it is not CH1; X2 is an Fc region; and n is independently 0 or 1; and wherein the second polypeptide chain includes a second VD1- (X1) n-VD2-C- ( X2) n, where: VD1 is the first light chain variable domain; VD2 is the second light chain variable domain; C is the light chain constant domain; X1 is a linker, and the restriction is that it is not CH1; X2 does not contain Fc And n is independently 0 or 1; wherein, in the first polypeptide chain, VD1 comprises a group selected from the group consisting of SEQ ID NOs: 60-148, 196, 198, 200, 202, 204, 206, 208, and 210 And VD2 comprises an amino acid sequence selected from the group consisting of SEQ ID NOs: 213 and 227; wherein, in the second polypeptide chain, VD1 comprises an amino acid sequence selected from SEQ ID NO: 149- 189, 197, 199, 201, 203, 205, 207, 209, and 211; and VD2 comprises an amino acid sequence selected from the group consisting of SEQ ID NOs: 216 and 229; and wherein The binding protein binds human IL-1β and human IL-1α.

在一實施例中,上述結合蛋白包含第一多肽鏈,其包含選自由SEQ ID NO:212、217、226、230、232、234及236組成之群的胺基酸序列。 In one embodiment, the binding protein comprises a first polypeptide chain including an amino acid sequence selected from the group consisting of SEQ ID NOs: 212, 217, 226, 230, 232, 234, and 236.

在另一實施例中,上述結合蛋白包含第二多肽鏈,其包含選自由SEQ ID NO:215、218、228、231、233、235及237組成之群的胺基酸序列。 In another embodiment, the aforementioned binding protein comprises a second polypeptide chain comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 215, 218, 228, 231, 233, 235, and 237.

在本發明之另一態樣中,結合蛋白包含第一及第二多肽鏈,其中 該第一多肽鏈包含第一VD1-(X1)n-VD2-C-(X2)n,其中:VD1為第一重鏈可變域;VD2為第二重鏈可變域;C為重鏈恆定域;X1為連接子,限制條件為其不為CH1;X2為Fc區;且n獨立地為0或1;且其中該第二多肽鏈包含第二VD1-(X1)n-VD2-C-(X2)n,其中:VD1為第一輕鏈可變域;VD2為第二輕鏈可變域;C為輕鏈恆定域;X1為連接子,限制條件為其不為CH1;X2不包含Fc區;且n獨立地為0或1;其中,在該第一多肽鏈中,VD1包含選自由SEQ ID NO:213及227組成之群的胺基酸序列;且VD2包含選自由SEQ ID NO:60-148、196、198、200、202、204、206、208及210組成之群的胺基酸序列;其中,在該第二多肽鏈中,VD1包含選自由SEQ ID NO:216及229組成之群的胺基酸序列;且VD2包含選自由SEQ ID NO:149-189、197、199、201、203、205、207、209及211組成之群的胺基酸序列;且其中該結合蛋白結合人類IL-1β及人類IL-1α。 In another aspect of the invention, the binding protein comprises a first and a second polypeptide chain, wherein The first polypeptide chain includes a first VD1- (X1) n-VD2-C- (X2) n, wherein: VD1 is a first heavy chain variable domain; VD2 is a second heavy chain variable domain; C is a heavy chain Constant domain; X1 is a linker, the restriction is that it is not CH1; X2 is an Fc region; and n is independently 0 or 1; and wherein the second polypeptide chain comprises a second VD1- (X1) n-VD2- C- (X2) n, where: VD1 is the first light chain variable domain; VD2 is the second light chain variable domain; C is the light chain constant domain; X1 is the linker, and the restriction is that it is not CH1; X2 Does not include an Fc region; and n is independently 0 or 1; wherein, in the first polypeptide chain, VD1 includes an amino acid sequence selected from the group consisting of SEQ ID NOs: 213 and 227; and VD2 includes an amino acid sequence selected from SEQ ID NO: amino acid sequence of the group consisting of 60-148, 196, 198, 200, 202, 204, 206, 208, and 210; wherein, in the second polypeptide chain, VD1 comprises a group selected from the group consisting of SEQ ID NO : An amino acid sequence of the group consisting of 216 and 229; and VD2 comprises an amino acid sequence selected from the group consisting of SEQ ID NOs: 149-189, 197, 199, 201, 203, 205, 207, 209, and 211; And the binding protein binds human IL-1β and human IL-1α.

在另一實施例中,上述結合蛋白包含第一多肽鏈,其包含選自由SEQ ID NO:219及221組成之群的胺基酸序列。 In another embodiment, the binding protein comprises a first polypeptide chain including an amino acid sequence selected from the group consisting of SEQ ID NOs: 219 and 221.

在另一實施例中,上述結合蛋白包含第二多肽鏈,其包含選自由SEQ ID NO:220及222組成之群的胺基酸序列。 In another embodiment, the aforementioned binding protein comprises a second polypeptide chain comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 220 and 222.

在另一態樣中,本發明提供一種上文所述之結合蛋白,其中:當該第一多肽鏈包含胺基酸序列SEQ ID NO:212時,則該第二多肽鏈包含選自由SEQ ID NO:215、228、231、233及235組成之群的胺基酸序列;當該第一多肽鏈包含胺基酸序列SEQ ID NO:217時,則該第二多肽鏈包含選自由SEQ ID NO:218及237組成之群的胺基酸序列;當該第一多肽鏈包含胺基酸序列SEQ ID NO:219時,則該第二多肽鏈包含胺基酸序列SEQ ID NO:220;當該第一多肽鏈包含胺基酸序列SEQ ID NO:221時,則該第二多肽鏈包含SEQ ID NO:222;當該第一多肽鏈包含胺基酸序列SEQ ID NO:226時,則該第二多肽鏈包含選自由SEQ ID NO:228、215、231、233及235組成之群的胺基酸序列;當該第一多肽鏈包含胺基酸序列SEQ ID NO:230時,則該第二多肽鏈包含選自由SEQ ID NO:231、215、228、233及235組成之群的胺基酸序列;當該第一多肽鏈包含胺基酸序列SEQ ID NO:232時,則該第二多肽鏈包含選自由SEQ ID NO:233、215、228、231及235組成之群的胺基酸序列;當該第一多肽鏈包含胺基酸序列SEQ ID NO:234時,則該第二多肽鏈包含選自由SEQ ID NO:235、215、228、231及233組成之群的胺基酸序列;且當該第一多肽鏈包含胺基酸序列SEQ ID NO:236時,則該第二多肽鏈包含SEQ ID NO:237。 In another aspect, the present invention provides a binding protein as described above, wherein when the first polypeptide chain comprises an amino acid sequence SEQ ID NO: 212, the second polypeptide chain comprises SEQ ID NO: amino acid sequence of the group consisting of 215, 228, 231, 233, and 235; when the first polypeptide chain includes the amino acid sequence SEQ ID NO: 217, the second polypeptide chain includes the selected The amino acid sequence of the group consisting of SEQ ID NO: 218 and 237 is free; when the first polypeptide chain includes the amino acid sequence SEQ ID NO: 219, the second polypeptide chain includes the amino acid sequence SEQ ID NO: 220; when the first polypeptide chain includes an amino acid sequence SEQ ID NO: 221, the second polypeptide chain includes SEQ ID NO: 222; when the first polypeptide chain includes an amino acid sequence SEQ When ID NO: 226, the second polypeptide chain includes an amino acid sequence selected from the group consisting of SEQ ID NO: 228, 215, 231, 233, and 235; when the first polypeptide chain includes an amino acid sequence When SEQ ID NO: 230, the second polypeptide chain includes an amino acid sequence selected from the group consisting of SEQ ID NO: 231, 215, 228, 233, and 235; when the first polypeptide chain When the amino acid sequence is SEQ ID NO: 232, the second polypeptide chain includes an amino acid sequence selected from the group consisting of SEQ ID NO: 233, 215, 228, 231, and 235; when the first polypeptide When the chain includes an amino acid sequence of SEQ ID NO: 234, the second polypeptide chain includes an amino acid sequence selected from the group consisting of SEQ ID NO: 235, 215, 228, 231, and 233; and when the first When the polypeptide chain includes an amino acid sequence of SEQ ID NO: 236, the second polypeptide chain includes SEQ ID NO: 237.

在另一態樣中,本發明提供一種上文所述之蛋白質,其中:該第一多肽鏈包含SEQ ID NO:212,且該第二多肽鏈包含SEQ ID NO:215;或該第一多肽鏈包含SEQ ID NO:217,且該第二多肽鏈包含SEQ ID NO:218;或該第一多肽鏈包含SEQ ID NO:219,且該第二多肽鏈包含SEQ ID NO:220;或該第一多肽鏈包含SEQ ID NO:221,且該第二多肽鏈包含SEQ ID NO:222;或該第一多肽鏈包含SEQ ID NO:226,且該第二多肽鏈包含SEQ ID NO:228;或該第一多肽鏈包含SEQ ID NO:230,且該第二多肽鏈包含SEQ ID NO:231;或該第一多肽鏈包含SEQ ID NO:232,且該第二多肽鏈包含SEQ ID NO:233;或該第一多肽鏈包含SEQ ID NO:234,且該第二多肽鏈包含SEQ ID NO:235;或該第一多肽鏈包含SEQ ID NO:236,且該第二多肽鏈包含SEQ ID NO:237。 In another aspect, the present invention provides a protein as described above, wherein the first polypeptide chain comprises SEQ ID NO: 212 and the second polypeptide chain comprises SEQ ID NO: 215; or the first polypeptide chain comprises SEQ ID NO: 217, and the second polypeptide chain comprises SEQ ID NO: 218; or the first polypeptide chain comprises SEQ ID NO: 219, and the second The polypeptide chain comprises SEQ ID NO: 220; or the first polypeptide chain comprises SEQ ID NO: 221 and the second polypeptide chain comprises SEQ ID NO: 222; or the first polypeptide chain comprises SEQ ID NO: 226, and the second polypeptide chain comprises SEQ ID NO: 228; or the first polypeptide chain comprises SEQ ID NO: 230, and the second polypeptide chain comprises SEQ ID NO: 231; or the first polypeptide The chain comprises SEQ ID NO: 232, and the second polypeptide chain comprises SEQ ID NO: 233; or the first polypeptide chain comprises SEQ ID NO: 234, and the second polypeptide chain comprises SEQ ID NO: 235; Or the first polypeptide chain comprises SEQ ID NO: 236 and the second polypeptide chain comprises SEQ ID NO: 237.

在一實施例中,上文所述之本發明結合蛋白包含兩個第一多肽鏈及兩個第二多肽鏈。 In one embodiment, the binding protein of the present invention described above comprises two first polypeptide chains and two second polypeptide chains.

在另一態樣中,在上述結合蛋白中,X1或X2為選自由SEQ ID NO:26-57、233、224及225組成之群的胺基酸序列。 In another aspect, in the above binding protein, X1 or X2 is an amino acid sequence selected from the group consisting of SEQ ID NOs: 26-57, 233, 224, and 225.

在另一實施例中,本發明提供一種上文所述之結合蛋白,其中Fc區係選自由天然序列Fc區及變異序列Fc區組成之群。在另一實施例中,Fc區係選自由來自IgG1、IgG2、IgG3、IgG4、IgA、IgM、IgE及IgD之Fc區組成之群。 In another embodiment, the present invention provides a binding protein as described above, wherein the Fc region is selected from the group consisting of a natural sequence Fc region and a variant sequence Fc region. In another embodiment, the Fc region is selected from the group consisting of Fc regions from IgG1, IgG2, IgG3, IgG4, IgA, IgM, IgE, and IgD.

在另一實施例中,本發明提供一種結合蛋白結合物,其包含上述 結合蛋白且進一步包含藥劑。該等藥劑包括(但不限於)免疫黏著分子、顯影劑、治療劑及細胞毒性劑。較佳顯影劑包括(但不限於)放射性標記、酶、螢光標記、發光標記、生物發光標記、磁性標記及生物素。較佳放射性標記包括(但不限於)3H、14C、35S、90Y、99Tc、111In、125I、131I、177Lu、166Ho及153Sm。較佳治療劑或細胞毒性劑包括(但不限於)抗代謝物、烷化劑、抗生素、生長因子、細胞激素、抗血管生成劑、抗有絲分裂劑、蒽環黴素(anthracycline)、毒素及細胞凋亡劑。 In another embodiment, the present invention provides a binding protein conjugate comprising the above binding protein and further comprising an agent. Such agents include, but are not limited to, immunoadhesion molecules, imaging agents, therapeutic agents, and cytotoxic agents. Preferred developers include, but are not limited to, radioactive labels, enzymes, fluorescent labels, luminescent labels, bioluminescent labels, magnetic labels, and biotin. Preferred radiolabels include, but are not limited to, 3 H, 14 C, 35 S, 90 Y, 99 Tc, 111 In, 125 I, 131 I, 177 Lu, 166 Ho, and 153 Sm. Preferred therapeutic or cytotoxic agents include, but are not limited to, antimetabolites, alkylating agents, antibiotics, growth factors, cytokines, antiangiogenic agents, antimitotic agents, anthracycline, toxins, and cells Apoptotic agent.

本發明亦提供一種包含抗原結合域之結合蛋白,其中該結合蛋白能夠結合人類IL-1β且該抗原結合域包含6個CDR,亦即,CDR-H1、CDR-H2、CDR-H3、CDR-L1、CDR-L2及CDR-L3,如下文所定義:CDR-H1:X1-Y-D-M-S(SEQ ID NO:190),其中:X1為S、K或R;CDR-H2:Y-X2-S-X4-G-G-X7-G-T-Y-Y-P-D-X14-X15-K-G(SEQ ID NO:191),其中:X2為I或V;X4為S或H;X7為G或A;X14為T或S;且X15為V或A;CDR-H3:G-G-V-X4-K-G-X7-F-D-X10(SEQ ID NO:192),其中:X4為T或Y;X7為Y或C;且X10為V、E、L、M、Q或Y;CDR-L1:R-A-S-G-N-I-X7-X8-X9-L-X11(SEQ ID NO:193),其中: X7為H、Y或W;X8為N、G、T、Q、E、H、D或K;X9為Y或W;且X11為T、A或N;CDR-L2:X1-A-K-X4-L-X6-X7(SEQ ID NO:194),其中:X1為N、Q或D;X4為T、N、I、E或S;X6為A、M或E;且X7為D、E、S或A;及CDR-L3:Q-X2-F-W-X5-X6-P-X8-X9(SEQ ID NO:195),其中:X2為H或Q;X5為S、N、T、K、R或M;X6為I或L;X8為Y或A;且X9為T、I及N;其中例外為當CDR-H1為S-Y-D-M-S(SEQ ID NO:17)時,則:CDR-H2不可為Y-I-S-S-G-G-G-G-T-Y-Y-P-D-T-V-K-G(SEQ ID NO:18);CDR-H3不可為G-G-V-T-K-G-Y-F-D-V(SEQ ID NO:19);CDR-L1不可為R-A-S-G-N-I-H-N-Y-L-T(SEQ ID NO:20);CDR-L2不可為N-A-K-T-L-A-D(SEQ ID NO:21);且CDR-L3不可為Q-H-F-W-S-I-P-Y-T(SEQ ID NO:22)。 The invention also provides a binding protein comprising an antigen binding domain, wherein the binding protein is capable of binding human IL-1β and the antigen binding domain comprises 6 CDRs, that is, CDR-H1, CDR-H2, CDR-H3, CDR- L1, CDR-L2 and CDR-L3, as defined below: CDR-H1: X 1 -YDMS (SEQ ID NO: 190), where: X 1 is S, K or R; CDR-H2: YX 2 -SX 4 -GGX 7 -GTYYPDX 14 -X 15 -KG (SEQ ID NO: 191), where: X 2 is I or V; X 4 is S or H; X 7 is G or A; X 14 is T or S; And X 15 is V or A; CDR-H3: GGVX 4 -KGX 7 -FDX 10 (SEQ ID NO: 192), where: X 4 is T or Y; X 7 is Y or C; and X 10 is V, E, L, M, Q or Y; CDR-L1: RASGNIX 7 -X 8 -X 9 -LX 11 (SEQ ID NO: 193), where: X 7 is H, Y or W; X 8 is N, G , T, Q, E, H, D or K; X 9 is Y or W; and X 11 is T, A or N; CDR-L2: X 1 -AKX 4 -LX 6 -X 7 (SEQ ID NO: 194), wherein: X 1 is N, Q, or D; X 4 is T, N, I, E, or S; X 6 is A, M, or E; and X 7 is D, E, S, or A; and CDR -L3: QX 2 -FWX 5 -X 6 -PX 8 -X 9 (SEQ ID NO: 195), where: X 2 is H or Q; X 5 is S, N, T, K, R or M; X 6 is I or L; X 8 is Y or A; and X 9 is T, I, and N; the exception is when CDR-H1 is SYDMS (SEQ ID NO: 17), then: CDR-H2 cannot be YISSGGGGTYYPDTVKG (SEQ ID NO: 18) CDR-H3 cannot be GGVTKGYFDV (SEQ ID NO: 19); CDR-L1 cannot be RASGNIHNYLT (SEQ ID NO: 20); CDR-L2 cannot be NAKTLAD (SEQ ID NO: 21); and CDR-L3 cannot be QHFWSIPYT (SEQ ID NO: 22).

在一實施例中,上文所述之分離結合蛋白包含至少一個CDR,其包含選自由以下組成之CDR序列之群的胺基酸序列:

Figure TWI615405BD00001
Figure TWI615405BD00002
Figure TWI615405BD00003
Figure TWI615405BD00004
Figure TWI615405BD00005
Figure TWI615405BD00006
Figure TWI615405BD00007
Figure TWI615405BD00008
Figure TWI615405BD00009
In one embodiment, the isolated binding protein described above comprises at least one CDR comprising an amino acid sequence selected from the group consisting of a CDR sequence consisting of:
Figure TWI615405BD00001
Figure TWI615405BD00002
Figure TWI615405BD00003
Figure TWI615405BD00004
Figure TWI615405BD00005
Figure TWI615405BD00006
Figure TWI615405BD00007
Figure TWI615405BD00008
Figure TWI615405BD00009

在另一實施例中,上述結合蛋白包含至少三個CDR,其中該三個CDR來自選自由以下組成之CDR集合之群的CDR集合:

Figure TWI615405BD00010
Figure TWI615405BD00011
Figure TWI615405BD00012
Figure TWI615405BD00013
Figure TWI615405BD00014
Figure TWI615405BD00015
Figure TWI615405BD00016
Figure TWI615405BD00017
Figure TWI615405BD00018
Figure TWI615405BD00019
Figure TWI615405BD00020
Figure TWI615405BD00021
Figure TWI615405BD00022
Figure TWI615405BD00023
Figure TWI615405BD00024
Figure TWI615405BD00025
Figure TWI615405BD00026
Figure TWI615405BD00027
Figure TWI615405BD00028
In another embodiment, the above binding protein comprises at least three CDRs, wherein the three CDRs are from a CDR set selected from the group consisting of a CDR set consisting of:
Figure TWI615405BD00010
Figure TWI615405BD00011
Figure TWI615405BD00012
Figure TWI615405BD00013
Figure TWI615405BD00014
Figure TWI615405BD00015
Figure TWI615405BD00016
Figure TWI615405BD00017
Figure TWI615405BD00018
Figure TWI615405BD00019
Figure TWI615405BD00020
Figure TWI615405BD00021
Figure TWI615405BD00022
Figure TWI615405BD00023
Figure TWI615405BD00024
Figure TWI615405BD00025
Figure TWI615405BD00026
Figure TWI615405BD00027
Figure TWI615405BD00028

在一實施例中,上述結合蛋白包含來自兩個選自上述CDR集合之群之CDR集合的CDR。 In one embodiment, the binding protein comprises CDRs from two CDR sets selected from the group of the CDR sets.

在另一實施例中,本發明提供一種包含來自兩個上述群之CDR集合之CDR的結合蛋白,其中該兩個CDR集合選自由以下組成之群:

Figure TWI615405BD00029
Figure TWI615405BD00030
Figure TWI615405BD00031
In another embodiment, the present invention provides a binding protein comprising CDRs from two sets of CDRs, wherein the two CDR sets are selected from the group consisting of:
Figure TWI615405BD00029
Figure TWI615405BD00030
Figure TWI615405BD00031

在另一實施例中,上述結合蛋白進一步包含人類接受體構架。人類構架較佳包含選自由SEQ ID NO:7-10、13-16、25、240-316及317-381組成之群的胺基酸序列。在一實施例中,本發明之結合蛋白包含選自由SEQ ID NO:7-10及13-16組成之群的人類構架序列。 In another embodiment, the aforementioned binding protein further comprises a human acceptor framework. The human framework preferably comprises an amino acid sequence selected from the group consisting of SEQ ID NOs: 7-10, 13-16, 25, 240-316, and 317-381. In one embodiment, the binding protein of the present invention comprises a human framework sequence selected from the group consisting of SEQ ID NOs: 7-10 and 13-16.

本發明之結合蛋白包括包含人類接受體構架之結合蛋白,該人類接受體構架包含至少一個構架區(Framework Region)胺基酸取代,其中該構架之胺基酸序列與該人類接受體構架之序列至少65%一致且包含至少70個與該人類接受體構架相同之胺基酸殘基。 The binding protein of the present invention includes a binding protein comprising a human acceptor framework comprising at least one framework region amino acid substitution, wherein the amino acid sequence of the framework and the sequence of the human acceptor framework At least 65% identical and contain at least 70 amino acid residues identical to the framework of the human acceptor.

在另一實施例中,本發明之結合蛋白包含人類接受體構架,其中該接受體構架在關鍵殘基處包含至少一個構架區胺基酸取代,該關鍵殘基選自由以下組成之群:與CDR相鄰之殘基;糖基化位點殘基;稀有殘基;能夠與人類IL-1β相互作用之殘基;能夠與CDR相互作用之殘基;典型殘基;介於重鏈可變區與輕鏈可變區之間的接觸殘基;維尼爾區(Vernier zone)內之殘基;及在Chothia定義之可變重鏈CDR1與Kabat定義之第一重鏈構架之間重疊的區域中之殘基。在一例示性實施例中,本發明之結合蛋白包含關鍵殘基,其中該關鍵殘基選自由以下組成之群:2H、4H、24H、26H、27H、29H、34H、35H、37H、39H、44H、45H、47H、48H、49H、50H、51H、58H、59H、60H、63H、67H、69H、71H、73H、76H、78H、91H、93H、94H、2L、4L、25L、29L、27bL、33L、34L、36L、38L、43L、44L、46L、47L、48L、49L、55L、58L、62L、64L、71L、87L、89L、90L、91L、94L、95L(皆為Kabat編號)。用於人類化本發明結合蛋白之此等殘基的例示性子集由27H、48H、67H、69H、93H、36L、43L、 46L、47L、49L、58L、71L及87L組成。 In another embodiment, the binding protein of the invention comprises a human acceptor framework, wherein the acceptor framework comprises at least one framework region amino acid substitution at a key residue, the key residue being selected from the group consisting of: and Residues adjacent to CDRs; residues at glycosylation sites; rare residues; residues capable of interacting with human IL-1β; residues capable of interacting with CDRs; typical residues; variable between heavy chains Contact residues between the variable region and the light chain variable region; residues in the Vernier zone; and regions that overlap between the variable heavy chain CDR1 defined by Chothia and the first heavy chain framework defined by Kabat Residues. In an exemplary embodiment, the binding protein of the present invention comprises a key residue, wherein the key residue is selected from the group consisting of 2H, 4H, 24H, 26H, 27H, 29H, 34H, 35H, 37H, 39H, 44H, 45H, 47H, 48H, 49H, 50H, 51H, 58H, 59H, 60H, 63H, 67H, 69H, 71H, 73H, 76H, 78H, 91H, 93H, 94H, 2L, 4L, 25L, 29L, 27bL, 33L, 34L, 36L, 38L, 43L, 44L, 46L, 47L, 48L, 49L, 55L, 58L, 62L, 64L, 71L, 87L, 89L, 90L, 91L, 94L, 95L (all Kabat numbers). Exemplary subsets of these residues for humanizing the binding proteins of the invention are 27H, 48H, 67H, 69H, 93H, 36L, 43L, 46L, 47L, 49L, 58L, 71L and 87L.

在另一實施例中,本發明之結合蛋白包含共同人類可變域。 In another embodiment, a binding protein of the invention comprises a common human variable domain.

在一實施例中,本發明之IL-1β結合蛋白包含至少一個包含選自由SEQ ID NO:60-189組成之群之胺基酸序列的可變域。 In one embodiment, the IL-1β binding protein of the present invention comprises at least one variable domain comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 60-189.

在另一實施例中,本發明之結合蛋白包含至少一個可變重鏈(VH)區(或域),其包含選自由SEQ ID NO:60-148、196、198、200、202、204、206、208及210組成之群的胺基酸序列。 In another embodiment, a binding protein of the invention comprises at least one variable heavy chain (VH) region (or domain) comprising a member selected from the group consisting of SEQ ID NOs: 60-148, 196, 198, 200, 202, 204, Amino acid sequences of the group consisting of 206, 208 and 210.

在另一實施例中,本發明之結合蛋白包含至少一個可變輕鏈(VL)區(或域),其包含選自由SEQ ID NO:149-189組成之群的胺基酸序列。 In another embodiment, a binding protein of the invention comprises at least one variable light chain (VL) region (or domain) comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 149-189.

在另一實施例中,本發明之結合蛋白包含至少一個VH區,其包含選自由SEQ ID NO:60-148、196、198、200、202、204、206、208及210組成之群的胺基酸序列;及至少一個VL區,其包含選自由SEQ ID NO:149-189、197、199、201、203、205、207、209及211組成之群的胺基酸序列。 In another embodiment, a binding protein of the invention comprises at least one VH region comprising an amine selected from the group consisting of SEQ ID NOs: 60-148, 196, 198, 200, 202, 204, 206, 208, and 210 Amino acid sequence; and at least one VL region comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 149-189, 197, 199, 201, 203, 205, 207, 209, and 211.

在一實施例中,本發明之結合蛋白包含兩個可變域,其中該兩個可變域包含選自由以下組成之群的胺基酸序列:

Figure TWI615405BD00032
Figure TWI615405BD00033
Figure TWI615405BD00034
In one embodiment, the binding protein of the present invention comprises two variable domains, wherein the two variable domains comprise an amino acid sequence selected from the group consisting of:
Figure TWI615405BD00032
Figure TWI615405BD00033
Figure TWI615405BD00034

在另一實施例中,本文所述之IL-1β結合蛋白係選自由以下組成之群:免疫球蛋白分子、scFv、單株抗體、人類化抗體、嵌合抗體、人類化抗體、Fab片段、Fab'片段、F(ab')2、Fv及經二硫鍵連接之Fv。 In another embodiment, the IL-1β binding protein described herein is selected from the group consisting of: an immunoglobulin molecule, scFv, a monoclonal antibody, a humanized antibody, a chimeric antibody, a humanized antibody, a Fab fragment, Fab 'fragment, F (ab') 2 , Fv and Fv linked by disulfide bonds.

在本發明之一態樣中,本文所述之結合蛋白能夠調節IL-1之生物功能。在另一態樣中,本文所述之結合蛋白能夠中和IL-1。 In one aspect of the invention, the binding proteins described herein are capable of modulating the biological function of IL-1. In another aspect, the binding proteins described herein are capable of neutralizing IL-1.

在一實施例中,本文所述之結合蛋白對IL-1β具有選自由以下組成之群的締合速率常數(on rate constant,Kon):至少約102M-1s-1;至少約103M-1s-1;至少約104M-1s-1;至少約105M-1s-1;及至少約106M-1s-1;如由表面電漿子共振所量測。 In one embodiment, the binding protein described herein has an on rate constant (K on ) selected from the group consisting of: at least about 10 2 M -1 s -1 ; 10 3 M -1 s -1 ; at least about 10 4 M -1 s -1 ; at least about 10 5 M -1 s -1 ; and at least about 10 6 M -1 s -1 ; as resonated by surface plasmons Measured.

在另一實施例中,本文所述之結合蛋白對IL-1β具有選自由以下組成之群的解離速率常數(off rate constant,Koff):至多約10-3s-1;至多約10-4s-1;至多約10-5s-1;及至多約10-6s-1,如由表面電漿子共振所量測。 In another embodiment, the solutions herein have the binding protein is selected from the group consisting of the dissociation rate constant (off rate constant, K off) of IL-1β: at most about 10 -3 s -1; at most about 10 - 4 s -1 ; at most about 10 -5 s -1 ; and at most about 10 -6 s -1 , as measured by surface plasmon resonance.

在另一實施例中,本文所述之結合蛋白對IL-1β具有選自由以下組成之群的解離常數(KD):至多約10-7M;至多約10-8M;至多約10-9M;至多約10-10M;至多約10-11M;至多約10-12M;及至多10-13M。 In another embodiment, the binding protein described herein having the IL-1β solution selected from the group consisting of a dissociation constant (K D): at most about 10 -7 M; at most about 10 -8 M; at most about 10 - 9 M; at most about 10 -10 M; at most about 10 -11 M; at most about 10 -12 M; and at most 10 -13 M.

在一態樣中,本發明提供一種結合蛋白構築體,其包含本文所述之結合蛋白且進一步包含連接子或免疫球蛋白恆定域。在一實施例中,結合蛋白構築體包含結合蛋白,其中該結合蛋白選自由以下組成之群:免疫球蛋白分子、經二硫鍵連接之Fv、單株抗體、scFv、嵌合抗體、CDR移植抗體、雙功能抗體(diabody)、人類化抗體、多特異性抗體、Fab、雙重特異性抗體、Fab'、雙特異性抗體及F(ab')2、DVD- IgTM及Fv。 In one aspect, the invention provides a binding protein construct comprising a binding protein described herein and further comprising a linker or an immunoglobulin constant domain. In one embodiment, the binding protein construct comprises a binding protein, wherein the binding protein is selected from the group consisting of: an immunoglobulin molecule, a disulfide-linked Fv, a monoclonal antibody, scFv, a chimeric antibody, a CDR graft Antibodies, diabody, humanized antibodies, multispecific antibodies, Fab, bispecific antibodies, Fab ', bispecific antibodies, and F (ab') 2 , DVD-Ig TM and Fv.

在一實施例中,結合蛋白構築體包含選自由以下組成之群的重鏈免疫球蛋白恆定域:人類IgM恆定域、人類IgG4恆定域、人類IgG1恆定域、人類IgE恆定域、人類IgG2恆定域,及人類IgG3恆定域,及人類IgA恆定域。 In one embodiment, the binding protein construct comprises a heavy chain immunoglobulin constant domain selected from the group consisting of: a human IgM constant domain, a human IgG4 constant domain, a human IgG1 constant domain, a human IgE constant domain, and a human IgG2 constant domain. , And human IgG3 constant domain, and human IgA constant domain.

在另一實施例中,結合蛋白構築體包含具有選自由SEQ ID NO:3、SEQ ID NO:4、SEQ ID NO:5及SEQ ID NO:6組成之群之胺基酸序列的免疫球蛋白恆定域。 In another embodiment, the binding protein construct comprises an immunoglobulin having an amino acid sequence selected from the group consisting of SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5, and SEQ ID NO: 6 Constant domain.

本發明亦提供結合蛋白結合物,其包含本文所述之結合蛋白構築體且進一步包含選自由免疫黏著分子、顯影劑、治療劑及細胞毒性劑組成之群的藥劑。可用作本文所述之結合蛋白結合物中之藥劑部分的顯影劑包括(但不限於)放射性標記、酶、螢光標記、發光標記、生物發光標記、磁性標記及生物素。在一實施例中,放射性標記係選自由以下組成之群:3H、14C、35S、90Y、99Tc、111In、125I、131I、177Lu、166Ho及153Sm。 The present invention also provides a binding protein conjugate comprising the binding protein construct described herein and further comprising an agent selected from the group consisting of an immunoadhesion molecule, a developing agent, a therapeutic agent, and a cytotoxic agent. Developers that can be used as the pharmaceutical moiety in the binding protein conjugates described herein include, but are not limited to, radioactive labels, enzymes, fluorescent labels, luminescent labels, bioluminescent labels, magnetic labels, and biotin. In one embodiment, the radioactive label is selected from the group consisting of: 3 H, 14 C, 35 S, 90 Y, 99 Tc, 111 In, 125 I, 131 I, 177 Lu, 166 Ho, and 153 Sm.

在另一實施例中,結合蛋白結合物包含作為治療劑或細胞毒性劑之藥劑,其係選自由以下組成之群:抗代謝物、烷化劑、抗生素、生長因子、細胞激素、抗血管生成劑、抗有絲分裂劑、蒽環黴素、毒素及細胞凋亡劑。 In another embodiment, the binding protein conjugate comprises an agent as a therapeutic agent or a cytotoxic agent, which is selected from the group consisting of an antimetabolite, an alkylating agent, an antibiotic, a growth factor, a cytokine, and an antiangiogenesis Agents, anti-mitotic agents, anthracyclines, toxins and apoptotic agents.

在一實施例中,本文所述之結合蛋白、結合蛋白構築體或結合蛋白結合物具有人類糖基化模式。 In one embodiment, the binding protein, binding protein construct, or binding protein conjugate described herein has a human glycosylation pattern.

本文所述之結合蛋白、結合蛋白構築體及結合蛋白結合物可以可溶性蛋白或晶體形式存在。在一實施例中,該等晶體為無載劑之控制醫藥釋放之晶體。在另一實施例中,本文所述之結合蛋白、結合蛋白構築體或結合蛋白結合物之結晶形式相較於其可溶性對應物具有較長活體內半衰期。在另一實施例中,本文所述之結合蛋白、結合蛋白構 築體或結合蛋白結合物之晶體保留其可溶性對應物之生物活性。 The binding proteins, binding protein constructs, and binding protein conjugates described herein may exist in the form of soluble proteins or crystals. In one embodiment, the crystals are carrier-free controlled pharmaceutical release crystals. In another embodiment, the crystalline form of a binding protein, binding protein construct, or binding protein conjugate described herein has a longer in vivo half-life than its soluble counterpart. In another embodiment, the binding protein, binding protein structure described herein The crystals of the construct or binding protein conjugate retain the biological activity of their soluble counterparts.

本發明之組合物包括用於釋放本文所述之結晶化結合蛋白、結合蛋白構築體或結合蛋白結合物的組合物,其包含:(a)調配物,其中該調配物包含本文所述之結晶化結合蛋白、結合蛋白構築體或結合蛋白結合物,及一成分;及(b)至少一種聚合載劑。 The composition of the present invention includes a composition for releasing a crystalline binding protein, a binding protein construct, or a binding protein conjugate described herein, comprising: (a) a formulation, wherein the formulation comprises the crystals described herein A binding protein, a binding protein construct or binding protein conjugate, and a component; and (b) at least one polymeric carrier.

可用於本發明組合物中之聚合載劑包括(但不限於)由以下組成之群中之一或多者:聚(丙烯酸)、聚(氰基丙烯酸酯)、聚(胺基酸)、聚(酸酐)、聚(縮肽)、聚(酯)、聚(乳酸)、聚(乳酸-共-乙醇酸)或PLGA、聚(β-羥基丁酸酯)、聚(己內酯)、聚(二氧環己酮)、聚(乙二醇)、聚((羥丙基)甲基丙烯醯胺)、聚[(有機)磷腈(phosphazene)]、聚(原酸酯)、聚(乙烯醇)、聚(乙烯吡咯啶酮)、順丁烯二酸酐-烷基乙烯基醚共聚物、普洛尼克多元醇(pluronic polyols)、白蛋白、海藻酸鹽、纖維素及纖維素衍生物、膠原蛋白、血纖維蛋白、明膠、玻尿酸、寡醣、葡糖胺聚醣、硫酸化多醣、其摻合物及共聚物。 Polymeric carriers that can be used in the compositions of the present invention include, but are not limited to, one or more of the group consisting of: poly (acrylic acid), poly (cyanoacrylate), poly (amino acid), poly (Anhydride), poly (peptide), poly (ester), poly (lactic acid), poly (lactic-co-glycolic acid) or PLGA, poly (β-hydroxybutyrate), poly (caprolactone), poly (Dioxane), poly (ethylene glycol), poly ((hydroxypropyl) methacrylamide), poly [(organic) phosphazene], poly (orthoester), poly ( (Vinyl alcohol), poly (vinyl pyrrolidone), maleic anhydride-alkyl vinyl ether copolymer, pluronic polyols, albumin, alginate, cellulose and cellulose derivatives , Collagen, fibrin, gelatin, hyaluronic acid, oligosaccharides, glucosaminoglycans, sulfated polysaccharides, blends and copolymers thereof.

在另一態樣中,本發明組合物之成分係選自由白蛋白、蔗糖、海藻糖、乳糖醇、明膠、羥丙基-β-環糊精、甲氧基聚乙二醇及聚乙二醇組成之群。 In another aspect, the composition of the composition of the present invention is selected from the group consisting of albumin, sucrose, trehalose, lactitol, gelatin, hydroxypropyl-β-cyclodextrin, methoxypolyethylene glycol, and polyethylene glycol. Group of alcohols.

本發明亦提供醫藥組合物,其包含本文所述之結合蛋白、結合蛋白構築體或結合蛋白結合物,及醫藥學上可接受之載劑。本發明之醫藥組合物可進一步包含至少一種其他藥劑。在一實施例中,該種其他藥劑包括(但不限於)治療劑、顯影劑、細胞毒性劑、血管生成抑制劑;激酶抑制劑;共刺激分子阻斷劑;黏著分子阻斷劑;抗細胞激素抗體或其功能片段;甲胺喋呤(methotrexate);環孢素(cyclosporin);雷帕黴素(rapamycin);FK506;可偵測標記或報導體;TNF拮抗劑;抗風濕藥;肌肉鬆弛劑、麻醉藥、非類固醇消炎藥(NSAID)、止痛 劑、麻醉劑、鎮靜劑、局部麻醉劑、神經肌肉阻斷劑、抗微生物劑、抗牛皮癬藥、皮質類固醇、同化類固醇、紅血球生成素(erythropoietin)、免疫劑(immunization)、免疫球蛋白、免疫抑制劑、生長激素、激素替代藥、放射性藥物、抗抑鬱劑、抗精神病藥、興奮劑、哮喘藥物、β促效劑、吸入型類固醇、腎上腺素或類似物、細胞激素及細胞激素拮抗劑。 The invention also provides a pharmaceutical composition comprising a binding protein, a binding protein construct or a binding protein conjugate described herein, and a pharmaceutically acceptable carrier. The pharmaceutical composition of the present invention may further include at least one other agent. In one embodiment, the other agents include, but are not limited to, therapeutic agents, imaging agents, cytotoxic agents, angiogenesis inhibitors; kinase inhibitors; costimulatory molecular blockers; adhesion molecule blockers; anti-cells Hormone antibodies or functional fragments thereof; methotrexate; cyclosporin; rapamycin; FK506; detectable markers or reporter conductors; TNF antagonists; antirheumatic drugs; muscle relaxation Agents, anesthetics, non-steroidal anti-inflammatory drugs (NSAIDs), analgesics Agents, anesthetics, sedatives, local anaesthetics, neuromuscular blockers, antimicrobials, anti-psoriasis drugs, corticosteroids, anabolic steroids, erythropoietin, immunoization, immunoglobulins, immunosuppressants, Growth hormones, hormone replacement drugs, radiopharmaceuticals, antidepressants, antipsychotics, stimulants, asthma drugs, beta agonists, inhaled steroids, epinephrine or similar, cytokines and cytokine antagonists.

在一實施例中,本發明之醫藥組合物包含醫藥學上可接受之載劑,其中該載劑亦充當增加組合物中結合蛋白、結合蛋白構築體或結合蛋白結合物之吸收或分散的佐劑。例示性佐劑為玻尿酸酶(hyaluronidase)。 In one embodiment, the pharmaceutical composition of the present invention comprises a pharmaceutically acceptable carrier, wherein the carrier also serves as an adjuvant that increases the absorption or dispersion of binding proteins, binding protein constructs, or binding protein conjugates in the composition. Agent. An exemplary adjuvant is hyaluronidase.

在另一實施例中,醫藥組合物進一步包含至少一種用於治療IL-1β活性有害之病症的其他治療劑。 In another embodiment, the pharmaceutical composition further comprises at least one other therapeutic agent for treating a condition in which IL-1β activity is detrimental.

在一實施例中,本發明提供編碼本文所述之結合蛋白的一或多個胺基酸序列的經分離核酸。該等核酸可插入載體中以進行各種遺傳分析或用於表現、表徵或改良本文所述之結合蛋白之一或多種性質。載體可包含一或多個編碼本文所述之結合蛋白的一或多個胺基酸序列的核酸分子,其中該一或多個核酸分子係可操作地連接至適當轉錄及/或轉譯序列,該等轉錄及/或轉譯序列允許該結合蛋白於具有該載體之特定宿主細胞中表現。用於選殖或表現編碼本文所述之結合蛋白的胺基酸序列之核酸的載體之實例包括(但不限於)pcDNA、pTT、pTT3、pEFBOS、pBV、pJV及pBJ。 In one embodiment, the invention provides an isolated nucleic acid encoding one or more amino acid sequences of a binding protein described herein. The nucleic acids can be inserted into a vector for various genetic analyses or used to express, characterize, or improve one or more properties of the binding proteins described herein. A vector may comprise one or more nucleic acid molecules encoding one or more amino acid sequences of a binding protein described herein, wherein the one or more nucleic acid molecules are operably linked to a suitable transcription and / or translation sequence, the Such transcription and / or translation sequences allow the binding protein to be expressed in a particular host cell having the vector. Examples of vectors used to breed or express a nucleic acid encoding an amino acid sequence of a binding protein described herein include, but are not limited to, pcDNA, pTT, pTT3, pEFBOS, pBV, pJV, and pBJ.

本發明亦提供一種宿主細胞,其包含包括編碼本文所述之結合蛋白的一或多個胺基酸序列之核酸的載體。可用於本發明中之宿主細胞可為原核細胞或真核細胞。例示性原核宿主細胞為大腸桿菌(Escherichia coli)。可用作本發明中之宿主細胞的真核細胞包括原生生物細胞、動物細胞、植物細胞及真菌細胞。例示性真菌細胞為酵母 細胞,包括釀酒酵母(Saccharomyces cerevisiae)。可用作本發明之宿主細胞的例示性動物細胞包括(但不限於)哺乳動物細胞、禽類細胞及昆蟲細胞。較佳哺乳動物細胞包括CHO及COS細胞。可用作本發明之宿主細胞的昆蟲細胞為昆蟲Sf9細胞。 The invention also provides a host cell comprising a vector comprising a nucleic acid encoding one or more amino acid sequences of a binding protein described herein. The host cell that can be used in the present invention can be a prokaryotic cell or a eukaryotic cell. An exemplary prokaryotic host cell is Escherichia coli . Eukaryotic cells that can be used as host cells in the present invention include protozoan cells, animal cells, plant cells, and fungal cells. Exemplary fungal cells are yeast cells, including Saccharomyces cerevisiae . Exemplary animal cells that can be used as host cells of the invention include, but are not limited to, mammalian cells, avian cells, and insect cells. Preferred mammalian cells include CHO and COS cells. Insect cells that can be used as the host cells of the present invention are insect Sf9 cells.

在另一態樣中,本發明提供一種產生本文所述之結合蛋白的方法,其包含在足以產生能夠結合IL-1α及/或IL-1β之結合蛋白的條件下在培養基中培養包含編碼該結合蛋白之載體的宿主細胞。如此產生之蛋白質可經分離且用於本文所述之各種組合物及方法中。 In another aspect, the present invention provides a method for producing a binding protein described herein, comprising culturing in a culture medium under conditions sufficient to produce a binding protein capable of binding IL-1α and / or IL-1β comprising encoding the A host cell that binds a protein carrier. The proteins so produced can be isolated and used in various compositions and methods described herein.

在另一實施例中,本發明提供一種降低人類IL-1活性之方法,其包含使人類IL-1與本文所述之結合蛋白接觸,以便降低人類IL-1活性。 In another embodiment, the present invention provides a method for reducing human IL-1 activity comprising contacting human IL-1 with a binding protein described herein to reduce human IL-1 activity.

本發明之另一實施例提供一種治療個體之病症的方法,其係藉由向該個體投與本文所述之結合蛋白來達成該治療。 Another embodiment of the present invention provides a method for treating an individual's condition, which is achieved by administering to the individual a binding protein described herein.

在另一實施例中,本文所述之結合蛋白可用於治療選自由以下組成之群的病症:糖尿病;葡萄膜炎;神經痛;骨關節炎疼痛;發炎性疼痛;類風濕性關節炎;骨關節炎;幼年型慢性關節炎;敗血性關節炎;萊姆關節炎(Lyme arthritis);牛皮癬性關節炎;反應性關節炎;脊椎關節病;全身性紅斑狼瘡(SLE);克羅恩氏病(Crohn's disease);潰瘍性結腸炎;發炎性腸病;自體免疫糖尿病;胰島素依賴性糖尿病;甲狀腺炎;哮喘;過敏性疾病;牛皮癬;皮炎;硬皮病;移植物抗宿主疾病;器官移植排斥反應;與器官移植相關之急性免疫疾病;與器官移植相關之慢性免疫疾病;類肉瘤病;動脈粥樣硬化;散播性血管內凝血(DIC);川崎氏病(Kawasaki's disease);格雷氏病(Grave's disease);腎病症候群;慢性疲勞症候群;韋格納氏肉芽腫病(Wegener's granulomatosis);亨偌-絲奇恩賴紫癜(Henoch-Schoenlein purpurea);腎顯微性血管炎;慢性活動性肝炎;自體免疫葡萄膜炎; 敗血性休克;中毒性休克症候群;敗血症候群;惡病質;感染性疾病;寄生蟲疾病;急性橫貫性脊髓炎;亨廷頓氏舞蹈病(Huntington's chorea);帕金森氏病(Parkinson's disease);阿茲海默氏病(Alzheimer's disease);中風;原發性膽汁性肝硬化;溶血性貧血;惡性疾病;心臟衰竭;心肌梗塞;艾狄森氏病(Addison's disease);偶發性I型多腺體分泌不足症;II型多腺體分泌不足症(施密特氏症候群(Schmidt's syndrome));急性呼吸窘迫症候群(ARDS);脫髮;斑形脫髮;血清陰性關節病;關節病;萊特爾氏病(Reiter's disease);牛皮癬性關節病;潰瘍性結腸關節病;腸病性滑膜炎;衣原體疾病(chlamydia);耶氏桿菌(yersinia)及沙門氏菌(salmonella)相關性關節病;脊椎關節病;動脈粥樣化疾病/動脈硬化;異位性過敏;自體免疫大皰性疾病;尋常天疱瘡;落葉型天疱瘡;類天疱瘡;線性IgA疾病;自體免疫溶血性貧血;庫姆氏陽性溶血性貧血(Coombs positive haemolytic anaemia);後天惡性貧血;幼年型惡性貧血;肌痛腦炎/皇家自由疾病(Royal Free Disease);慢性黏膜皮膚念珠菌病;巨細胞動脈炎(GCA);原發性硬化性肝炎;隱源性自體免疫肝炎;後天免疫缺乏症候群(AIDS);後天免疫缺乏相關疾病;B型肝炎;C型肝炎;一般變異型免疫缺乏症(一般變異型低丙種球蛋白血症);擴張型心肌症;女性不孕症;卵巢衰竭;卵巢早衰;纖維變性肺病;隱源性纖維化肺泡炎;發炎後間質性肺病;間質性肺炎;結締組織疾病相關之間質性肺病;混合性結締組織疾病相關之肺病;全身性硬化症相關之間質性肺病;類風濕性關節炎相關之間質性肺病;全身性紅斑狼瘡相關之肺病;皮肌炎/多肌炎相關之肺病;休格連氏病(Sjögren's disease)相關之肺病;僵直性脊椎炎相關之肺病;血管炎彌漫性肺病;含鐵血黃素沉著症(haemosiderosis)相關之肺病;藥物誘發性間質性肺病;纖維化;放射性纖維化;阻塞性細支氣管炎;慢性嗜伊紅性肺炎;淋巴球性浸潤性 肺病;感染後間質性肺病;痛風性關節炎;自體免疫肝炎;1型自體免疫肝炎(典型自體免疫肝炎或類狼瘡肝炎);2型自體免疫肝炎(抗LKM抗體肝炎);自體免疫介導之低血糖症;伴有黑棘皮病之B型胰島素抗性;副甲狀腺低能症;骨關節炎;原發性硬化性膽管炎;1型牛皮癬;2型牛皮癬;特發性白血球減少症;自體免疫性嗜中性白血球減少症;NOS腎病;絲球體腎炎;腎顯微性血管炎;萊姆病(Lyme disease);盤狀紅斑狼瘡;特發性男性不育症;氧化氮相關性男性不育症;精子自體免疫症;多發性硬化症(所有亞型,包括原發進展型、繼發進展型、復發緩解型);交感性眼炎;因結締組織疾病繼發之肺循環血壓過高;古德帕斯徹氏症候群(Goodpasture's syndrome);結節性多動脈炎之肺部表現;急性風濕熱;類風濕性脊椎炎;斯蒂爾氏病(Still's disease);全身性硬化症;休格連氏症候群(Sjörgren's syndrome);高安氏病(Takayasu's disease)/動脈炎;自體免疫血小板減少症(AITP);特發性血小板減少症;自體免疫甲狀腺病;甲狀腺機能亢進;甲狀腺腫性自體免疫性甲狀腺低能症(橋本氏病(Hashimoto's disease));萎縮性自體免疫性甲狀腺低能症;原發性黏液水腫;晶狀體源性葡萄膜炎;原發性血管炎;白斑症;急性肝病;慢性肝病;酒精性肝硬化;酒精誘發性肝損傷;膽汁淤積;特異體質性肝病;藥物誘發性肝炎;非酒精性脂肪變性肝炎;過敏症;B群鏈球菌(Streptococci)(GBS)感染;精神障礙(例如抑鬱症及精神分裂症);Th2型及Th1型介導之疾病;急性及慢性疼痛(不同形式之疼痛);癌症(諸如肺癌、乳癌、胃癌、膀胱癌、結腸癌、胰臟癌、卵巢癌、前列腺癌及直腸癌);造血性惡性疾病;白血病;淋巴瘤;無β脂蛋白血症(abetalipoproteinemia);手足發紺(acrocyanosis);急性及慢性寄生或感染過程;急性白血病;急性淋巴母細胞白血病(ALL);T細胞ALL;FAB ALL;急性骨髓白血病(AML);急性或慢性細菌感染;急性胰臟 炎;急性腎衰竭;腺癌;心房異位搏動(atrial ectopic beats);AIDS癡呆綜合症;酒精誘發性肝炎;過敏性結膜炎;過敏性接觸性皮炎;過敏性鼻炎;同種異體移植排斥反應;α-l抗胰蛋白酶缺乏症;肌萎縮性側索硬化;貧血;心絞痛;前角細胞退化;抗CD3療法;抗磷脂症候群;抗受體過敏性反應;主動脈及周邊動脈瘤;主動脈剝離;動脈高血壓;動脈硬化;動靜脈瘺;共濟失調;心房纖維性顫動(持續性或陣發性);心房撲動;房室傳導阻滯;B細胞淋巴瘤;骨移植排斥反應;骨髓移植(BMT)排斥反應;束支傳導阻滯;伯基特氏淋巴瘤(Burkitt's lymphoma);灼傷;心律不整;心臟頓抑症候群;心臟腫瘤;心肌病;心肺繞道發炎反應;軟骨移植排斥反應;小腦皮質退化;小腦病症;紊亂性或多灶性房性心跳過速;化學療法相關之病症;慢性骨髓性白血病(CML);慢性酒精中毒;慢性發炎病變;慢性淋巴球性白血病(CLL);慢性阻塞性肺病(COPD);慢性水楊酸鹽中毒;結腸直腸癌;充血性心臟衰竭;結膜炎;接觸性皮炎;肺原性心臟病;冠狀動脈疾病;庫賈氏病(Creutzfeldt-Jakob disease);培養陰性敗血症;囊腫性纖維化;細胞激素療法相關之病症;拳擊員癡呆(dementia pugilistica);脫髓鞘病;出血性登革熱;皮炎;皮膚病狀;糖尿病;糖尿病性動脈硬化病;泛發性路易體疾病(diffuse Lewy body disease);擴張型充血性心肌病;基底神經節病症;中年唐氏症候群(Down's syndrome);由阻斷CNS多巴胺受體之藥物誘發的藥物誘發性運動障礙;藥物過敏;濕疹;腦脊髓炎;心內膜炎;內分泌病;會厭炎;埃-巴二氏病毒感染(Epstein-Barr virus infection);紅斑性肢痛;錐體外及小腦病症;家族性噬血淋巴組織球增多症(familial hematophagocytic lymphohistiocytosis);胎兒胸腺植入物排斥反應;弗里德賴希氏共濟失調(Friedreich's ataxia);功能性周邊動脈病症;真菌敗血症;氣性壞疽;胃潰瘍;腎小球性腎炎;任何器官或組織之 移植排斥反應;革蘭氏陰性敗血症;革蘭氏陽性敗血症;由細胞內有機體所致之肉芽腫;毛細胞白血病;哈-施二氏病(Hallervorden-Spatz disease);橋本氏甲狀腺炎(Hashimoto's thyroiditis);花粉熱;心臟移植排斥反應;血色素沉著症;血液透析;溶血性尿毒癥症候群/溶解血栓性血小板減少性紫癜;出血;A型肝炎;希氏束心律不整(His bundle arrhythmias);HIV感染/HIV神經病;霍奇金氏病(Hodgkin's disease);過動性運動障礙;過敏性反應;過敏性肺炎;高血壓;運動功能減退性運動障礙;下丘腦-垂體-腎上腺軸評估;特發性艾狄森氏病;特發性肺纖維化(IPF);抗體介導之細胞毒性;衰弱;嬰兒脊髓性肌萎縮;主動脈發炎;A型流行性感冒;電離輻射曝露;虹膜睫狀體炎/葡萄膜炎/視神經炎;缺血-再灌注損傷;缺血性中風;幼年型類風濕性關節炎;幼年型脊髓性肌萎縮;卡波西氏肉瘤(Kaposi's sarcoma);腎移植排斥反應;退伍軍人桿菌病(legionella);利什曼病(leishmaniasis);麻風;皮質脊髓系統病變;脂肪水腫;肝臟移植排斥反應;淋巴水腫;瘧疾;惡性淋巴瘤;惡性組織球增多症;惡性黑色素瘤;腦膜炎;腦膜炎球菌血症;代謝症候群;偏頭痛;特發性偏頭痛;粒線體多系統病症;混合性結締組織疾病;單株丙種球蛋白病;多發性骨髓瘤;多發性系統退化(曼切、代哲因-托馬斯、夏伊-德雷格及馬查多-約瑟夫(Menzel;Dejerine-Thomas;Shy-Drager;and Machado-Joseph));重症肌無力;胞內鳥型分枝桿菌病;結核分枝桿菌病;骨髓發育不良症候群;心肌梗塞;心肌缺血性病症;鼻咽癌;新生兒慢性肺病;腎炎;腎病;神經退化性疾病;神經性I型肌肉萎縮;嗜中性球減少性發燒;非霍奇金氏淋巴瘤(non-Hodgkin's lymphoma);腹主動脈及其分支閉塞;閉塞性動脈病症;OKT3®療法;睪丸炎/附睪炎;睪丸炎/輸精管重新接合術;器官腫大;骨質疏鬆症;胰臟移植排斥反應;胰臟癌;腫瘤伴生徵候群/惡性血鈣過 多;副甲狀腺移植排斥反應;骨盆發炎疾病;常年性鼻炎;心包疾病;周邊動脈粥樣硬化疾病;周邊血管性病症;腹膜炎;惡性貧血;卡氏肺囊蟲肺炎(pneumocystis carinii pneumonia);肺炎;POEMS症候群(多發性神經病、器官腫大、內分泌病、單株丙種球蛋白病及皮膚變化症候群);灌注後症候群;泵後症候群;MI心切開術後症候群;子癇前期;進行性核上麻痹;原發性肺動脈高血壓;放射療法;雷諾氏現象(Raynaud's phenomenon);雷諾氏疾病(Raynaud's disease);雷富孫氏病(Refsum's disease);規則窄QRS心跳過速;腎血管性高血壓;再灌注損傷;限制性心肌病;肉瘤;老年性舞蹈病;路易體型老年癡呆症;血清陰性關節病;休克;鐮狀細胞貧血;皮膚同種異體移植排斥反應;皮膚變化症候群;小腸移植排斥反應;實體腫瘤;特殊心律不整;脊髓性共濟失調;脊髓小腦退化;鏈球菌肌炎;小腦結構病變;亞急性硬化性泛腦炎;暈厥;心血管系統梅毒;全身性過敏症;全身性發炎反應症候群;全身性發作幼年型類風濕性關節炎;毛細管擴張;血栓閉塞性血管炎;血小板減少症;毒性;移植;外傷/出血;III型過敏性反應;IV型過敏;不穩定型絞痛;尿毒癥;尿路敗血症;蕁麻疹;心臟瓣膜疾病;靜脈曲張;血管炎;靜脈疾病;靜脈血栓形成;心室纖維性顫動;病毒及真菌感染;病毒性腦炎/無菌性腦膜炎;病毒相關性噬血細胞症候群;韋尼克-科爾薩科夫症候群(Wernicke-Korsakoff syndrome);威爾遜氏病(Wilson's disease);任何器官或組織之異種移植排斥反應;急性冠狀動脈症候群;急性特發性多發性神經炎;急性發炎性脫髓鞘多神經根神經病;急性缺血;成人斯蒂爾氏病;斑形脫髮;全身性過敏反應;抗磷脂抗體症候群;再生不全性貧血;動脈硬化;異位性濕疹;異位性皮炎;自體免疫皮炎;與鏈球菌感染相關之自體免疫病症;自體免疫腸病;自體免疫聽力喪失;自體免疫淋巴增生症候群(ALPS);自體免疫心肌炎;自體免 疫卵巢早衰;眼瞼炎;支氣管擴張症;大皰性類天疱瘡;心血管疾病;災難性抗磷脂症候群;乳糜瀉;頸椎關節黏連;慢性缺血;瘢痕性類天疱瘡;伴有多發性硬化症風險之臨床上分離症候群(CIS);結膜炎;兒童期發作型精神病症;淚囊炎;皮肌炎;糖尿病性視網膜病;椎間盤突出;椎間盤脫出;藥物誘發性免疫溶血性貧血;心內膜炎;子宮內膜異位;內眼炎;上鞏膜炎;多形性紅斑;重症多形性紅斑;妊娠期類天疱瘡;格-巴二氏症候群(Guillain-Barré syndrome,GBS);花粉熱;休斯症候群(Hughes syndrome);特發性帕金森氏病;特發性間質性肺炎;IgE介導之過敏症;免疫溶血性貧血;包涵體肌炎;感染性眼部發炎疾病;發炎性脫髓鞘病;發炎性心臟病;發炎性腎病;虹膜炎;角膜炎;乾躁性角膜結膜炎;庫氏病(Kussmaul disease)或庫-梅二氏病(Kussmaul-Meier disease);蘭德里氏麻痺(Landry's paralysis);蘭氏細胞組織球增多症(Langerhan's cell histiocytosis);網狀青斑;黃斑變性;顯微性多血管炎;白赫鐵列夫症(Morbus Bechterev);運動神經元病症;黏膜類天疱瘡;多重器官衰竭;重症肌無力;骨髓發育不良症候群;心肌炎;神經根病症;神經病;非A型非B型肝炎;視神經炎;骨質溶解;少關節型JRA;周邊動脈閉塞性疾病(PAOD);周邊血管疾病(PVD);周邊動脈疾病(PAD);靜脈炎;結節性多動脈炎(或結節性動脈周圍炎);多軟骨炎;風濕性多肌痛;白髮症;多關節型JRA;多發性內分泌缺乏症候群;多肌炎;風濕性多肌痛(PMR);泵後症候群;原發性帕金森氏症(primary Parkinsonism);繼發性帕金森氏症(secondary Parkinsonism);前列腺炎;純紅血球再生不良;原發性腎上腺機能不全;復發性視神經脊髓炎;再狹窄;風濕性心臟病;SAPHO(滑膜炎、痤瘡、膿皰病、骨肥大及骨炎);繼發性澱粉樣變性;休克肺;鞏膜炎;坐骨神經痛;繼發性腎上腺機能不全;聚矽氧相關性結締組 織疾病;斯-威二氏皮膚病(Sneddon-Wilkinson dermatosis);僵直性脊椎炎;史蒂芬-瓊森症候群(Stevens-Johnson syndrome,SJS);全身性發炎反應症候群;顳動脈炎;弓形蟲視網膜炎;中毒性表皮壞死溶解;橫貫性脊髓炎;TRAPS(1型腫瘤壞死因子受體(TNFR)相關之週期性症候群);伴有黑棘皮病之B型胰島素抗性;1型過敏性反應;II型糖尿病;蕁麻疹;普通型間質性肺炎(UIP);春季結膜炎;病毒性視網膜炎;伏格特-小柳-原田症候群(Vogt-Koyanagi-Harada syndrome,VKH症候群);濕性黃斑變性;創傷癒合;耶氏桿菌及沙門氏菌相關性關節病。 In another embodiment, the binding proteins described herein can be used to treat conditions selected from the group consisting of: diabetes; uveitis; neuralgia; osteoarthritis pain; inflammatory pain; rheumatoid arthritis; bone Arthritis; juvenile chronic arthritis; septic arthritis; Lyme arthritis; psoriasis arthritis; reactive arthritis; spinal joint disease; systemic lupus erythematosus (SLE); Crohn's disease (Crohn's disease); ulcerative colitis; inflammatory bowel disease; autoimmune diabetes; insulin-dependent diabetes; thyroiditis; asthma; allergic disease; psoriasis; dermatitis; scleroderma; graft-versus-host disease; organ transplantation Rejection; Acute immune disease related to organ transplantation; Chronic immune disease related to organ transplantation; Sarcomatoid disease; Atherosclerosis; Disseminated intravascular coagulation (DIC); Kawasaki's disease; Gray disease (Grave's disease); kidney disease syndrome; chronic fatigue syndrome; Wegener's granulomatosis (Wegener's granulomatosis); enoch-Schoenlein purpurea); renal microangiitis; chronic active hepatitis; autoimmune uveitis; septic shock; toxic shock syndrome; septic syndrome; cachexia; infectious disease; parasitic disease; acute transection Myelitis; Huntington's chorea; Parkinson's disease; Alzheimer's disease; Stroke; Primary biliary cirrhosis; Hemolytic anemia; Malignant disease; Heart failure; myocardial infarction; Addison's disease; occasional type 1 polyglandular hyposecretion; type II polyglandular hyposecretion (Schmidt's syndrome); acute respiratory distress Syndrome (ARDS); hair loss; patchy hair loss; sero-negative arthropathy; arthropathy; Reiter's disease; psoriasis arthropathy; ulcerative colon arthropathy; enteric synovitis; chlamydia ); Yarrowia sp (Yersinia) and Salmonella (Salmonella) associated arthropathy; spondyloarthropathies; atheromatous disease / arteriosclerosis; atopic allergy Autoimmune bullous disease; pemphigus vulgaris; pemphigoid pemphigoid; pemphigoid; linear IgA disease; autoimmune hemolytic anemia; Coombs positive haemolytic anaemia; acquired malignant anemia Juvenile pernicious anemia; myalgia encephalitis / Royal Free Disease; chronic mucosal skin candidiasis; giant cell arteritis (GCA); primary sclerosing hepatitis; cryptogenic autoimmune hepatitis; Acquired Immune Deficiency Syndrome (AIDS); Acquired Immune Deficiency Related Diseases; Hepatitis B; Hepatitis C; General Variant Immunodeficiency (General Variant Hypogammaglobulinemia); Dilated Cardiomyopathy; Female Infertility; Ovarian failure; Premature ovarian failure; Fibrotic lung disease; Cryptogenic fibrotic alveolitis; Post-inflammation interstitial lung disease; Interstitial pneumonia; Connective tissue disease-related interstitial lung disease; Mixed connective tissue disease-related lung disease; Systemic Sclerosis-related interstitial lung disease; rheumatoid arthritis-related interstitial lung disease; systemic lupus erythematosus-related lung disease; dermatomyositis / polymyositis-related Lung disease; Sjögren's disease-related lung disease; Ankylosing spondylitis-related lung disease; Vasculitis diffuse lung disease; Haemosiderosis-related lung disease; Drug-induced interstitial lung disease Fibrosis; Radiofibrosis; Obstructive bronchiolitis; Chronic eosinophilic pneumonia; Lymphocytic invasive lung disease; Interstitial lung disease after infection; Gouty arthritis; Autoimmune hepatitis; Type 1 autoimmune Hepatitis (typical autoimmune hepatitis or lupus hepatitis); type 2 autoimmune hepatitis (anti-LKM antibody hepatitis); autoimmune-mediated hypoglycemia; type B insulin resistance with acanthosis nigricans; parathyroid Low energy disease; Osteoarthritis; Primary sclerosing cholangitis; Type 1 psoriasis; Type 2 psoriasis; Idiopathic leukopenia; Autoimmune neutropenia; NOS nephropathy; Silky nephritis; Renal manifestation Microvasculitis; Lyme disease; Discoid lupus erythematosus; Idiopathic male infertility; Nitric oxide-related male infertility; Sperm autoimmunity; Multiple sclerosis (all subtypes, package Primary progressive, secondary progressive, relapsing-remitting); sympathetic ophthalmia; high pulmonary circulation blood pressure secondary to connective tissue disease; Goodpasture's syndrome; nodular polyarteritis Lung manifestations; acute rheumatic fever; rheumatoid spondylitis; Still's disease; systemic sclerosis; Sjörgren's syndrome; Takayasu's disease / arteritis; Autoimmune thrombocytopenia (AITP); idiopathic thrombocytopenia; autoimmune thyroid disease; hyperthyroidism; goiter autoimmune hypothyroidism (Hashimoto's disease); atrophic autoimmune Autoimmune hypothyroidism; Primary myxedema; Lens-derived uveitis; Primary vasculitis; White spot disease; Acute liver disease; Chronic liver disease; Alcoholic cirrhosis; Alcohol-induced liver injury; Cholestasis; Specific Constitutional liver disease; drug-induced hepatitis; non-alcoholic steatohepatitis; allergies; group B Streptococci (GBS) infection; mental disorders (such as suppression Depression and schizophrenia); Th2 and Th1 mediated diseases; acute and chronic pain (different forms of pain); cancer (such as lung cancer, breast cancer, stomach cancer, bladder cancer, colon cancer, pancreatic cancer, ovarian cancer, Prostate and rectal cancer); Hematopoietic malignant disease; Leukemia; Lymphoma; Abetalipoproteinemia; Acrocyanosis; Acute and chronic parasitic or infectious processes; Acute leukemia; Acute lymphoblastic leukemia ( ALL); T-cell ALL; FAB ALL; acute myeloid leukemia (AML); acute or chronic bacterial infections; acute pancreatitis; acute renal failure; adenocarcinoma; atrial ectopic beats; AIDS dementia syndrome; Alcohol-induced hepatitis; Allergic conjunctivitis; Allergic contact dermatitis; Allergic rhinitis; Allograft rejection; Alpha-1 antitrypsin deficiency; Amyotrophic lateral sclerosis; Anemia; Angina; Anterior horn cells degeneration; Anti-CD3 therapy; anti-phospholipid syndrome; anti-receptor allergic reaction; aortic and peripheral aneurysms; aortic dissection; arterial hypertension; arteriosclerosis; Arteriovenous fistula; ataxia; atrial fibrillation (persistent or paroxysmal); atrial flutter; atrioventricular block; B-cell lymphoma; bone graft rejection; bone marrow transplant (BMT) rejection; bundle Branch block; Burkitt's lymphoma; Burns; Arrhythmia; Cardiac Symptoms; Cardiac tumors; Cardiomyopathy; Cardiopulmonary bypass inflammation; Cartilage transplantation rejection; Cerebellar cortex degeneration; Cerebellar disorders; Disorders Atrial or multifocal atrial tachycardia; chemotherapy-related disorders; chronic myelogenous leukemia (CML); chronic alcoholism; chronic inflammatory lesions; chronic lymphocytic leukemia (CLL); chronic obstructive pulmonary disease (COPD); Chronic salicylate poisoning; colorectal cancer; congestive heart failure; conjunctivitis; contact dermatitis; pulmonary heart disease; coronary artery disease; Creutzfeldt-Jakob disease; culture-negative sepsis; cystic fibrosis Conditions related to cytokine therapy; boxer dementia (dementia pugilistica); demyelinating disease; hemorrhagic dengue fever; dermatitis; skin symptoms; diabetes Diabetic arteriosclerosis; diffuse Lewy body disease; dilated congestive cardiomyopathy; basal ganglia disease; middle-aged Down's syndrome; by blocking CNS dopamine receptors Drug-induced drug-induced dyskinesia; drug allergy; eczema; encephalomyelitis; endocarditis; endocrine disease; epiglottis; Epstein-Barr virus infection; erythematous limb pain; Extrapyramidal and cerebellar disorders; familial hematophagocytic lymphohistiocytosis; fetal thymus implant rejection; Friedreich's ataxia; functional peripheral arterial disorders; fungi Septicemia; gas gangrene; gastric ulcer; glomerulonephritis; transplant rejection of any organ or tissue; Gram-negative sepsis; Gram-positive sepsis; granulomas caused by intracellular organisms; hair cell leukemia; ha -Hallervorden-Spatz disease; Hashimoto's thyroiditis; hay fever; heart transplant Rejection; Hemochromatosis; Hemodialysis; Hemolytic uremic syndrome / thrombolytic thrombocytopenic purpura; Bleeding; Hepatitis A; His bundle arrhythmias; HIV infection / HIV neuropathy; Hodgkin Hodgkin's disease; hyperactive dyskinesia; allergic reaction; allergic pneumonia; hypertension; hypokinesis; hypothalamic-pituitary-adrenal axis assessment; idiopathic Addison's disease; Idiopathic pulmonary fibrosis (IPF); antibody-mediated cytotoxicity; weakness; infantile spinal muscular atrophy; aortic inflammation; influenza A; exposure to ionizing radiation; iridocyclitis / uvitis / optic neuritis Ischemia-reperfusion injury; Ischemic stroke; Juvenile rheumatoid arthritis; Juvenile spinal muscular atrophy; Kaposi's sarcoma; Kidney transplant rejection; Legionella Leishmaniasis; Leprosy; Corticospinal system lesions; Fat edema; Liver transplant rejection; Lymphedema; Malaria; Malignant lymphoma; Malignant tissue ball Multiple disease; Malignant melanoma; Meningitis; Meningococcalemia; Metabolic syndrome; Migraine; Idiopathic migraine; Mitochondrial multisystem disorder; Mixed connective tissue disease; Single plant gamma globulin disease; Multiple Myeloma; multiple system degeneration (Manche, Dejein-Thomas, Shay-Drag, and Machado-Joseph (Menzel; Dejerine-Thomas; Shy-Drager; and Machado-Joseph)); myasthenia gravis Intracellular avian mycobacterium disease; mycobacterium tuberculosis; myelodysplastic syndrome; myocardial infarction; myocardial ischemic disease; nasopharyngeal carcinoma; neonatal chronic lung disease; nephritis; renal disease; Type I muscle atrophy; neutropenic fever; non-Hodgkin's lymphoma; occlusion of the abdominal aorta and its branches; occlusive arterial disease; OKT3® therapy; testicular inflammation Periarthritis / vasterectomy; organ enlargement; osteoporosis; pancreatic transplant rejection; pancreatic cancer; tumor associated syndrome / malignant hypercalcemia; parathyroid transplant rejection; pelvic inflammation Disease; perennial rhinitis; pericardial disease; peripheral atherosclerotic disease; peripheral vascular disease; peritonitis; malignant anemia; pneumocystis carinii pneumonia; pneumonia; POEMS syndrome (polyneuropathy, organ enlargement) , Endocrine disease, single strain of gamma globulin disease and skin change syndrome); syndrome after perfusion; syndrome after pumping; syndrome after MI cardiac incision; preeclampsia; progressive supranuclear palsy; primary pulmonary hypertension; radiation therapy; Raynaud's phenomenon; Raynaud's disease; Refsum's disease; regular narrow QRS tachycardia; renal vascular hypertension; reperfusion injury; restrictive cardiomyopathy; sarcoma; Alzheimer's disease; Lewy body dementia; Seronegative arthropathy; Shock; Sickle cell anemia; Skin allograft rejection; Skin change syndrome; Small bowel transplant rejection; Solid tumor; Special arrhythmia; Spinal ataxia Imbalance; Spinal cerebellar degeneration; Streptococcus myositis; Cerebellar structural lesions; Subacute hard Panencephalitis; syncope; cardiovascular system syphilis; systemic allergies; systemic inflammatory syndrome; systemic onset juvenile rheumatoid arthritis; capillary dilatation; thromboocclusive vasculitis; thrombocytopenia; toxicity; transplantation Trauma / bleeding; type III allergic reaction; type IV allergy; unstable colic; uremia; urinary septicemia; urticaria; heart valve disease; varicose veins; vasculitis; venous disease; venous thrombosis; ventricular fiber Sexual tremor; viral and fungal infections; viral encephalitis / aseptic meningitis; virus-associated hemophagocytic syndrome; Wernicke-Korsakoff syndrome; Wilson's disease; any Organ or tissue xenograft rejection; acute coronary syndrome; acute idiopathic polyneuritis; acute inflammatory demyelinating polyradiculoneuropathy; acute ischemia; adult Still's disease; patchy alopecia; systemic Allergic reaction; Antiphospholipid antibody syndrome; Aplastic anemia; Arteriosclerosis; Atopic eczema; Atopic Inflammation; autoimmune dermatitis; autoimmune disorders associated with streptococcal infection; autoimmune bowel disease; autoimmune hearing loss; autoimmune lymphoproliferative syndrome (ALPS); autoimmune myocarditis; autoimmune premature ovarian failure Blepharitis; Bronchiectasis; Bullous pemphigoid; Cardiovascular disease; Disastrous antiphospholipid syndrome; Celiac disease; Cervical joint adhesions; Chronic ischemia; Scarring pemphigoid; Risk of multiple sclerosis Clinically isolated syndrome (CIS); conjunctivitis; childhood-onset psychosis; dacryocystitis; dermatomyositis; diabetic retinopathy; disc herniation; disc herniation; drug-induced immune hemolytic anemia; endocarditis Endometriosis; endometritis; episcleritis; erythema multiforme; severe erythema multiforme; pemphigoid gestation; Guillain-Barré syndrome (GBS); pollen fever; Hughes syndrome; idiopathic Parkinson's disease; idiopathic interstitial pneumonia; IgE-mediated allergies; immune hemolytic anemia; inclusion body myositis; infectious eyes Inflammatory diseases; inflammatory demyelinating disease; inflammatory heart disease; inflammatory nephropathy; iritis; keratitis; irritable keratoconjunctivitis; Kussmaul disease or Kussmaul-Meier disease ); Landry's paralysis; Langerhan's cell histiocytosis; Reticulum; macular degeneration; Microscopic polyangiitis; Morbus Bechterev Motor neuron disorders; Mucosal pemphigoid; Multiple organ failure; Myasthenia gravis; Bone marrow dysplasia; Myocarditis; Nerve root disorders; Neuropathy; Non-type A and non-B hepatitis; Optic neuritis; Osteolysis; Osteoarthritis JRA Peripheral arterial occlusive disease (PAOD); peripheral vascular disease (PVD); peripheral arterial disease (PAD); phlebitis; nodular polyarteritis (or nodular periarteritis); polychondritis; rheumatic polymyalgia White hair disease; polyarticular JRA; multiple endocrine deficiency syndrome; polymyositis; rheumatic polymyalgia (PMR); post-pump syndrome; primary Parkinsonism; secondary parkinsonism Prostatitis; Pure red blood cell aplasia; Primary adrenal insufficiency; Recurrent optic neuromyelitis; Restenosis; Rheumatic heart disease; SAPHO (synovitis, acne, impetigo, bone Hypertrophy and osteitis); secondary amyloidosis; shock lung; scleritis; sciatica; secondary adrenal insufficiency; polysiloxane-associated connective tissue disease; Sneddon-Wilkinson dermatosis ); Ankylosing spondylitis; Stevens-Johnson syndrome (SJS); Systemic inflammatory response syndrome; Temporal arteritis; Toxoplasma retinitis; Toxic epidermal necrolysis; Transverse myelitis; TRAPS (1 Tumor necrosis factor receptor (TNFR) -related periodic syndrome); type B insulin resistance with acanthosis nigricans; type 1 allergic reaction; type 2 diabetes; urticaria; common interstitial pneumonia (UIP) Spring conjunctivitis; viral retinitis; Vogt-Koyanagi-Harada syndrome (VKH syndrome); wet macular degeneration; wound healing; Yarrow's Salmonella bacteria and related joint disease.

在本文所述之治療方法之另一實施例中,向個體投與本文所述之結合蛋白或結合蛋白構築體或結合蛋白結合物的步驟係藉由至少一種選自以下之模式來達成:非經腸、皮下、肌肉內、靜脈內、關節內、支氣管內、腹內、囊內、軟骨內、腔內、體腔內(intracelial)、小腦內、腦室內、結腸內、子宮頸內、胃內、肝內、心肌內、骨內、骨盆內、心包內、腹膜內、胸膜內、前列腺內、肺內、直腸內、腎內、視網膜內、脊椎內、滑膜內、胸腔內、子宮內、膀胱內、快速注射、經陰道、經直腸、經頰、舌下、鼻內及經皮。 In another embodiment of the method of treatment described herein, the step of administering to a subject a binding protein or binding protein construct or binding protein conjugate described herein is achieved by at least one mode selected from the group consisting of: Intestinal, subcutaneous, intramuscular, intravenous, intraarticular, intrabronchial, intraabdominal, intrasaccular, intrachondral, intraluminal, intracelial, cerebellum, intraventricular, colon, intracervix, intragastric , Intrahepatic, intramyocardial, intraosseous, intrapelvic, intrapericardial, intraperitoneal, intrapleural, intraprostatic, intrapulmonary, intrarectal, intrarenal, intraretinal, intraspinal, intrasynovial, intrathoracic, intrauterine, Intravesical, rapid injection, transvaginal, transrectal, buccal, sublingual, intranasal and percutaneous.

本發明之另一態樣為一種治療罹患IL-1有害之病症之患者的方法,其包含在投與第二藥劑之前、同時或之後投與本文所述之結合蛋白、結合蛋白構築體或結合蛋白結合物的步驟,其中該第二藥劑係選自由以下組成之群:吸入型類固醇;β促效劑;短效或長效β促效劑;白三烯或白三烯受體之拮抗劑;ADVAIR;IgE抑制劑;抗IgE抗體;XOLAIR;磷酸二酯酶抑制劑;PDE4抑制劑;黃嘌呤;抗膽鹼激導性藥物;肥大細胞穩定劑;色甘酸(Cromolyn);IL-4抑制劑;IL-5抑制劑;嗜酸性粒細胞趨化因子(eotaxin)/CCR3抑制劑;組織胺或其受體(包括H1、H2、H3及H4)之拮抗劑;前列腺素D或其受體DP1及CRTH2 之拮抗劑;TNF拮抗劑;TNF受體之可溶性片段;ENBREL®;TNF酶拮抗劑;TNF轉化酶(TACE)抑制劑;蕈毒鹼受體拮抗劑;TGF-β拮抗劑;干擾素γ;吡非尼酮(perfenidone);化學治療劑甲胺喋呤;來氟米特(leflunomide);西羅莫司(sirolimus)(雷帕黴素)或其類似物、CCI-779;COX2或cPLA2抑制劑;NSAID;免疫調節劑;p38抑制劑;TPL-2、MK-2及NFkB抑制劑;布替耐德(budenoside);表皮生長因子;皮質類固醇;環孢素;柳氮磺胺吡啶(sulfasalazine);胺基水楊酸鹽;6-巰基嘌呤;硫唑嘌呤(azathioprine);甲硝噠唑(metronidazole);脂肪加氧酶抑制劑;美沙拉嗪(mesalamine);奧沙拉嗪(olsalazine);巴柳氮(balsalazide);抗氧化劑;血栓素(thromboxane)抑制劑;IL-1受體拮抗劑;抗IL-1β抗體;抗IL-6抗體;生長因子;彈性蛋白酶抑制劑;吡啶基-咪唑化合物;TNF、LT、IL-1、IL-2、IL-3、IL-4、IL-5、IL-6、IL-7、IL-8、IL-9、IL-10、IL-11、IL-12、IL-14、IL-15、IL-16、IL-17、IL-18、IL-19、IL-20、IL-21、IL-22、IL-23、IL-24、IL-25、IL-26、IL-27、IL-28、IL-29、IL-30、IL-31、IL-32、IL-33、EMAP-II、GM-CSF、FGF或PDGF之抗體或促效劑;CD2、CD3、CD4、CD8、CD25、CD28、CD30、CD40、CD45、CD69、CD90或其配位體之抗體;FK506;雷帕黴素;黴酚酸嗎啉乙酯(mycophenolate mofetil);布洛芬(ibuprofen);潑尼松龍(prednisolone);磷酸二酯酶抑制劑;腺苷促效劑;抗血栓劑;補體抑制劑;腎上腺素激導劑;IRAK、NIK、IKK、p38或MAP激酶抑制劑;IL-1β轉化酶抑制劑;TNF-α轉化酶抑制劑;T細胞信號傳導抑制劑;金屬蛋白酶抑制劑;6-巰基嘌呤;血管收縮素轉化酶抑制劑;可溶性細胞激素受體;可溶性p55 TNF受體;可溶性p75 TNF受體;sIL-1RI;sIL-1RII;sIL-6R;消炎細胞激素;IL-4;IL-10;IL-11;及TGF-β。 Another aspect of the invention is a method of treating a patient suffering from a condition that is harmful to IL-1, which comprises administering a binding protein, binding protein construct, or binding agent described herein before, at the same time or after administration of a second agent. Step of a protein conjugate, wherein the second agent is selected from the group consisting of: inhaled steroids; beta agonists; short-acting or long-acting beta agonists; leukotriene or leukotriene receptor antagonists ADVAIR IgE inhibitor Anti-IgE antibody XOLAIR phosphodiesterase inhibitor PDE4 inhibitor xanthine anticholinergic drug mast cell stabilizer cromolyn IL-4 inhibition Agents; IL-5 inhibitors; eotaxin / CCR3 inhibitors; antagonists of histamine or its receptors (including H1, H2, H3, and H4); prostaglandin D or its receptor DP1 and CRTH2 Antagonist; TNF antagonist; soluble fragment of TNF receptor; ENBREL®; TNF enzyme antagonist; TNF converting enzyme (TACE) inhibitor; muscarinic receptor antagonist; TGF-β antagonist; interferon gamma; Pirfenidone (perfenidone); chemotherapeutic agent methotrexate; leflunomide; sirolimus (rapamycin) or an analogue thereof, CCI-779; COX2 or cPLA2 inhibition Agents; NSAIDs; immunomodulators; p38 inhibitors; TPL-2, MK-2 and NFkB inhibitors; budenoside; epidermal growth factor; corticosteroids; cyclosporine; sulfasalazine ; Aminosalicylate; 6-mercaptopurine; azathioprine; metronidazole; fat oxygenase inhibitor; mesalamine; olsalazine; bar Balsalazide; antioxidants; thromboxane inhibitors; IL-1 receptor antagonists; anti-IL-1β antibodies; anti-IL-6 antibodies; growth factors; elastase inhibitors; pyridyl-imidazole compounds ; TNF, LT, IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, I L-11, IL-12, IL-14, IL-15, IL-16, IL-17, IL-18, IL-19, IL-20, IL-21, IL-22, IL-23, IL- 24, IL-25, IL-26, IL-27, IL-28, IL-29, IL-30, IL-31, IL-32, IL-33, EMAP-II, GM-CSF, FGF or PDGF Antibodies or agonists; antibodies to CD2, CD3, CD4, CD8, CD25, CD28, CD30, CD40, CD45, CD69, CD90, or their ligands; FK506; rapamycin; mycophenolate morpholine ethyl ester ( mycophenolate mofetil); ibuprofen; prednisolone; phosphodiesterase inhibitors; adenosine agonists; antithrombotic agents; complement inhibitors; adrenaline activators; IRAK, NIK, IKK, p38 or MAP kinase inhibitors; IL-1β converting enzyme inhibitors; TNF-α converting enzyme inhibitors; T cell signaling inhibitors; metalloproteinase inhibitors; 6-mercaptopurine; angiotensin converting enzyme inhibitors; Soluble cytokine receptor; soluble p55 TNF receptor; soluble p75 TNF receptor; sIL-1RI; sIL-1RII; sIL-6R; anti-inflammatory cytokine; IL-4; IL-10; IL-11; and TGF-β .

本發明之另一態樣提供至少一種針對本文所述之至少一種IL-1結合蛋白之IL-1抗個體基因型抗體。該抗個體基因型抗體包括含有如下分子之任何蛋白質或肽,該分子包含免疫球蛋白分子之至少一部分,諸如(但不限於)其重鏈或輕鏈或配位體結合部分之至少一個CDR、重鏈或輕鏈可變區、重鏈或輕鏈恆定區、構架區,或其可併入本發明結合蛋白中之任何部分。 Another aspect of the invention provides at least one IL-1 anti-idiotype antibody against at least one IL-1 binding protein described herein. The anti-idiotypic antibody includes any protein or peptide containing a molecule comprising at least a portion of an immunoglobulin molecule, such as (but not limited to) at least one CDR of its heavy or light chain or ligand binding moiety, A heavy or light chain variable region, a heavy or light chain constant region, a framework region, or any part thereof that can be incorporated into a binding protein of the invention.

本發明係關於結合IL-1β之IL-1β結合蛋白,包括(但不限於)抗IL-1β抗體或其抗原結合部分;及結合IL-1β及另一標靶之多價、多特異性結合蛋白,諸如DVD-IgTM。本發明之各種態樣係關於抗體及抗體片段、DVD-Ig結合蛋白,及其醫藥組合物,以及用於製備包括抗體、DVD-Ig結合蛋白及其片段之該等IL-1β結合蛋白的核酸、重組表現載體及宿主細胞。本發明亦涵蓋使用本發明之IL-1β結合蛋白偵測人類IL-1β;於活體外或活體內抑制人類IL-1β;以及調控基因表現的方法。 The invention relates to an IL-1β binding protein that binds IL-1β, including (but not limited to) an anti-IL-1β antibody or an antigen-binding portion thereof; and a multivalent, multispecific binding that binds IL-1β and another target. Protein, such as DVD-Ig . Various aspects of the present invention relate to antibodies and antibody fragments, DVD-Ig binding proteins, and pharmaceutical compositions thereof, and nucleic acids for preparing the IL-1β binding proteins including antibodies, DVD-Ig binding proteins and fragments thereof. Recombinant expression vectors and host cells. The present invention also encompasses methods for detecting human IL-1β using the IL-1β binding protein of the present invention; inhibiting human IL-1β in vitro or in vivo; and methods for regulating gene expression.

本發明亦涵蓋任何能夠與本文所述之IL-1β結合蛋白競爭的結合蛋白或抗體。 The invention also encompasses any binding protein or antibody capable of competing with the IL-1β binding protein described herein.

除非本文中另作定義,否則關於本發明所使用之科學及技術術語應具有一般技術者通常所理解之含義。該等術語之含義及範疇應為明確的,然而,若存在任何潛在的歧義,則本文所提供之定義優先於任何詞典或外來定義。此外,除非上下文另外要求,否則單數術語應包括複數且複數術語應包括單數。在本申請案中,除非另有說明,否則「或」之使用意謂「及/或」。此外,術語「包括」以及其他形式(諸如「所包括」)之使用不具限制性。同樣,除非另有具體說明,否則諸如「要素」或「組分」之術語涵蓋包含一個單元之要素及組分與包含一個以上次單元之要素及組分。 Unless otherwise defined herein, scientific and technical terms used in connection with the present invention shall have the meaning commonly understood by a person of ordinary skill. The meaning and scope of these terms should be clear, however, if there is any potential ambiguity, the definition provided herein takes precedence over any dictionary or foreign definition. Furthermore, unless otherwise required by context, singular terms shall include pluralities and plural terms shall include the singular. In this application, the use of "or" means "and / or" unless stated otherwise. In addition, the use of the term "including" and other forms such as "included" is not limiting. Similarly, unless specifically stated otherwise, terms such as "elements" or "components" encompass elements and components containing one unit and elements and components containing more than one subunit.

一般而言,關於本文所述之細胞及組織培養、分子生物學、免疫學、微生物學、遺傳學及蛋白質與核酸化學及雜交所用之命名以及本文所述之細胞及組織培養、分子生物學、免疫學、微生物學、遺傳學及蛋白質與核酸化學及雜交之技術為此項技術中熟知及常用之彼等命名及技術。除非另外指出,否則本發明之方法及技術通常根據此項技術中所熟知且如貫穿本說明書所引用及論述之各個一般參考文獻及更特定之參考文獻中所述的習知方法來執行。酶促反應及純化技術係根據製造商說明書,如此項技術中通常所實現或如本文所述來進行。關於本文所述之分析化學、合成有機化學及醫藥化學所用之命名以及本文所述之分析化學、合成有機化學及醫藥化學之實驗室程序及技術為此項技術中熟知且常用之彼等命名、實驗室程序及技術。對化學合成、化學分析、醫藥製備、調配及傳遞、以及患者治療使用標準技術。 In general, the cell and tissue culture, molecular biology, immunology, microbiology, genetics, and nomenclature for protein and nucleic acid chemistry and hybridization described herein, as well as the cell and tissue culture, molecular biology, Immunology, microbiology, genetics, and protein and nucleic acid chemistry and hybridization techniques are well-known and commonly used in this technology. Unless otherwise indicated, the methods and techniques of the present invention are generally performed according to conventional methods well known in the art and described in various general references and more specific references cited and discussed throughout this specification. Enzymatic reactions and purification techniques are according to the manufacturer's instructions, as commonly accomplished in this technique or performed as described herein. The nomenclature used in the analytical chemistry, synthetic organic chemistry, and medicinal chemistry described herein, and the laboratory procedures and techniques for the analytical chemistry, synthetic organic chemistry, and medicinal chemistry described in this article are well-known and commonly used in this technology. Laboratory procedures and techniques. Use standard techniques for chemical synthesis, chemical analysis, pharmaceutical preparation, formulation and delivery, and patient treatment.

為了可更容易地理解本發明,以下定義所選術語。 In order that the invention may be more readily understood, selected terms are defined below.

術語「多肽」係指胺基酸之任何聚合物鏈。術語「肽」及「蛋白質」可與術語多肽互換使用且亦指胺基酸之聚合物鏈。術語「多肽」涵蓋天然或人工蛋白質、蛋白質片段,及蛋白質序列之多肽類似物。多肽可為單體或聚合物。除非上下文另外相矛盾,否則術語「多肽」涵蓋其片段及變異體(包括變異體之片段)。對於抗原性多肽,多肽之片段視情況含有多肽之至少一個鄰接或非線性抗原決定基。該至少一個抗原決定基片段之確切邊界可使用此項技術中之一般技能來確認。該片段包含至少約5個鄰接胺基酸,諸如至少約10個鄰接胺基酸、至少約15個鄰接胺基酸,或至少約20個鄰接胺基酸。多肽之變異體如本文所述。 The term "polypeptide" refers to any polymer chain of an amino acid. The terms "peptide" and "protein" are used interchangeably with the term polypeptide and also refer to polymer chains of amino acids. The term "polypeptide" encompasses natural or artificial proteins, protein fragments, and polypeptide analogs of protein sequences. The polypeptide may be a monomer or a polymer. Unless the context otherwise contradicts, the term "polypeptide" encompasses fragments and variants thereof (including fragments of variants). For antigenic polypeptides, fragments of the polypeptide optionally contain at least one contiguous or non-linear epitope of the polypeptide. The exact boundaries of the at least one epitope fragment can be confirmed using general skills in the art. The fragment contains at least about 5 contiguous amino acids, such as at least about 10 contiguous amino acids, at least about 15 contiguous amino acids, or at least about 20 contiguous amino acids. Polypeptide variants are as described herein.

術語「經分離之蛋白質」或「經分離之多肽」為如下蛋白質或多肽:其根據起源或衍生來源,與在其天然狀態中伴隨其之天然相關組 分不相關;實質上不含來自相同物種之其他蛋白質;由不同物種之細胞表現;或在自然界中不存在。因此,以化學方式合成或在不同於天然起源之細胞的細胞系統中合成之多肽將與其天然相關組分「分離」。亦可藉由使用此項技術中所熟知之蛋白質純化技術進行分離而使蛋白質實質上不含天然相關組分。 The term "isolated protein" or "isolated polypeptide" is a protein or polypeptide that, according to its origin or derived source, is associated with its naturally related group in its natural state. They are not related; they are essentially free of other proteins from the same species; they are expressed by cells of different species; or they do not exist in nature. Therefore, a polypeptide that is chemically synthesized or synthesized in a cellular system other than a cell of natural origin will be "isolated" from its naturally related components. Proteins can also be substantially free of natural related components by isolation using protein purification techniques well known in the art.

術語「回收」係指藉由例如使用此項技術中所熟知之蛋白質純化技術進行分離而使化學物質(諸如多肽)實質上不含天然相關組分之過程。 The term "recovery" refers to a process in which a chemical substance, such as a polypeptide, is substantially free of naturally-related components by, for example, separation using protein purification techniques well known in the art.

術語「人類IL-1α」(本文中縮寫為hIL-1α或IL-1α)包括與各種免疫反應、發炎過程及血細胞生成有關之多效性細胞激素。舉例而言,IL-1α包括由經活化之巨噬細胞所產生之人類細胞激素;其藉由誘導IL-2釋放、B細胞成熟及增殖以及纖維母細胞生長因子活性來刺激胸腺細胞增殖。術語人類IL-1α意欲包括可由標準重組表現方法製備之重組人類IL-1α(rh IL-1α)。 The term "human IL-1α" (abbreviated herein as hIL-1α or IL-1α) includes pleiotropic cytokines involved in various immune responses, inflammatory processes, and blood cell production. For example, IL-1α includes human cytokines produced by activated macrophages; it stimulates thymocyte proliferation by inducing IL-2 release, B cell maturation and proliferation, and fibroblast growth factor activity. The term human IL-1α is intended to include recombinant human IL-1α (rh IL-1α), which can be prepared by standard recombinant expression methods.

術語「人類IL-1β」(本文中縮寫為hIL-1β或IL-1β)包括與各種免疫反應、發炎過程及血細胞生成有關之多效性細胞激素。術語人類IL-1β包括可由標準重組表現方法製備之重組人類IL-1β(rh IL-1β)。 The term "human IL-1β" (abbreviated herein as hIL-1β or IL-1β) includes pleiotropic cytokines involved in various immune responses, inflammatory processes, and blood cell production. The term human IL-1β includes recombinant human IL-1β (rh IL-1β) that can be prepared by standard recombinant expression methods.

人類IL-1α及IL-1β之胺基酸序列展示於表1中。 The amino acid sequences of human IL-1α and IL-1β are shown in Table 1.

Figure TWI615405BD00035
Figure TWI615405BD00035
Figure TWI615405BD00036
Figure TWI615405BD00036

術語「生物活性」係指IL-1細胞激素(例如,IL-1α及/或IL-1β)之所有固有生物性質。IL-1α及IL-1β之生物性質包括(但不限於)結合IL-1受體。 The term "biological activity" refers to all the inherent biological properties of IL-1 cytokines (eg, IL-1α and / or IL-1β). Biological properties of IL-1α and IL-1β include, but are not limited to, binding to the IL-1 receptor.

關於抗體、蛋白質或肽與第二化學物質之相互作用的術語「特異性結合」或「特異性地結合」意謂該相互作用視化學物質上特定結構(例如抗原決定子或抗原決定基)之存在而定;舉例而言,抗體一般識別且結合特定蛋白質結構而非蛋白質。若抗體對抗原決定基「A」具特異性,則在含有經標記「A」及抗體之反應中,含有抗原決定基A(或游離、未經標記之A)之分子的存在將減少結合於抗體之經標記A之量。 The terms "specifically bind" or "specifically bind" with respect to the interaction of an antibody, protein, or peptide with a second chemical substance mean that the interaction depends on the specific structure (such as an epitope or epitope) of the chemical substance. It depends; for example, antibodies generally recognize and bind to specific protein structures rather than proteins. If the antibody is specific for epitope "A", the presence of a molecule containing epitope A (or free, unlabeled A) in a reaction containing labeled "A" and the antibody will reduce binding to Amount of labeled A of the antibody.

術語「抗體」泛指包含四個多肽鏈(兩個重(H)鏈及兩個輕(L)鏈)之任何免疫球蛋白(Ig)分子,或其保留Ig分子之基本抗原決定基結合特徵的任何功能片段、突變體、變異體或衍生物。該等突變體、變異體或衍生物抗體形式在此項技術中為已知的。其非限制性實施例討論如下。 The term "antibody" broadly refers to any immunoglobulin (Ig) molecule comprising four polypeptide chains (two heavy (H) chains and two light (L) chains), or it retains the essential epitope binding characteristics of the Ig molecule Any functional fragment, mutant, variant or derivative. Such mutant, variant or derivative antibody forms are known in the art. Non-limiting examples are discussed below.

在全長抗體中,各重鏈包含重鏈可變區(本文中縮寫為HCVR或VH)及重鏈恆定區。重鏈恆定區包含3個域:CH1、CH2及CH3。各輕鏈包含輕鏈可變區(本文中縮寫為LCVR或VL)及輕鏈恆定區。輕鏈恆定區包含一個域CL。VH及VL區可進一步細分成散置有稱為構架區(FR)之較保守區域的高變區,稱為互補決定區(CDR)。各VH及VL由三個CDR及四個FR組成,其自胺基端至羧基端按以下順序排列: FR1、CDR1、FR2、CDR2、FR3、CDR3、FR4。免疫球蛋白分子可為任何類型(例如IgG、IgE、IgM、IgD、IgA及IgY)、任何種類(例如IgG1、IgG2、IgG3、IgG4、IgA1及IgA2)或子類。 In a full-length antibody, each heavy chain contains a heavy chain variable region (abbreviated herein as HCVR or VH) and a heavy chain constant region. The heavy chain constant region contains three domains: CH1, CH2, and CH3. Each light chain includes a light chain variable region (abbreviated herein as LCVR or VL) and a light chain constant region. The light chain constant region contains a domain CL. The VH and VL regions can be further subdivided into hypervariable regions interspersed with more conservative regions called framework regions (FR), called complementarity determining regions (CDR). Each VH and VL is composed of three CDRs and four FRs, which are arranged from the amine end to the carboxy end in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4. Immunoglobulin molecules can be of any type (eg, IgG, IgE, IgM, IgD, IgA, and IgY), any kind (eg, IgG1, IgG2, IgG3, IgG4, IgA1, and IgA2) or subclasses.

術語「Fc區」用以定義免疫球蛋白重鏈之C端區域,其可藉由完整抗體之木瓜蛋白酶消化而產生。Fc區可為天然序列Fc區或變異Fc區。免疫球蛋白之Fc區一般包含兩個恆定域(CH2域及CH3域),且視情況包含CH4域。置換Fc部分中之胺基酸殘基以改變抗體效應功能在此項技術中為已知的(Winter等人,美國專利第5,648,260號及第5,624,821號)。抗體之Fc部分介導若干重要效應功能,例如細胞激素誘導、ADCC、吞噬作用、補體依賴性細胞毒性(CDC),及抗體及抗原-抗體複合物之半衰期/清除率。視治療目標而定,此等效應功能在一些情況下為治療性抗體所需但在其他情況下可為不必要或甚至有害的。某些人類IgG同型、尤其IgG1及IgG3經由分別結合於FcγRs及補體C1q而介導ADCC及CDC。新生兒Fc受體(FcRn)為決定抗體之循環半衰期之關鍵組分。在另一實施例中,置換抗體之恆定區(例如抗體之Fc區)中之至少一個胺基酸殘基,以便改變抗體之效應功能。免疫球蛋白之兩個相同重鏈之二聚化由CH3域之二聚化所介導且由鉸鏈區內之二硫鍵穩定化(Huber等人,Nature,264:415-420(1976);Thies等人,J.Mol.Biol.,293:67-79(1999))。鉸鏈區內之半胱胺酸殘基突變以阻止重鏈-重鏈二硫鍵將使CH3域之二聚化失去穩定。已鑑別負責CH3二聚化之殘基(Dall'Acqua等人,Biochemistry,37:9266-9273(1998))。因此,有可能產生單價半Ig。有趣的是,已在自然界中發現IgG及IgA子類兩者之此等單價半Ig分子(Seligmann等人,Ann.Immunol.,129 C:855-870(1978);Biewenga等人,Clin.Exp.Immunol.,51:395-400(1983))。FcRn:Ig Fc區之化學計量已測定為2:1(West等人,Biochemistry,39:9698-9708(2000)),且半Fc足以介導FcRn結合(Kim 等人,Eur.J.Immunol.,24:542-548(1994))。破壞CH3域二聚化之突變可能不對於其FcRn結合具有更大不利影響,此係歸因於對於CH3二聚化較重要之殘基位於CH3 b片狀結構之內部界面上,而負責FcRn結合之區域位於CH2-CH3域之外部界面上。然而,半Ig分子可由於其尺寸小於規則抗體而在組織滲透方面具有某種優勢。在一實施例中,置換本發明結合蛋白之恆定區(例如Fc區)中之至少一個胺基酸殘基,以便破壞重鏈之二聚化,產生半DVD Ig分子。IgG之消炎活性完全取決於IgG Fc片段之N連接聚糖之唾液酸化。已確定消炎活性之精確聚糖需求,以使得可產生適當IgG1 Fc片段,進而產生具有極大增強效能之完全重組、唾液酸化IgG1 Fc(Anthony等人,Science,320:373-376(2008))。 The term "Fc region" is used to define the C-terminal region of the immunoglobulin heavy chain, which can be produced by papain digestion of intact antibodies. The Fc region may be a native sequence Fc region or a variant Fc region. The Fc region of an immunoglobulin generally includes two constant domains (CH2 domain and CH3 domain), and optionally a CH4 domain. Substitution of amino acid residues in the Fc portion to alter antibody effector functions is known in the art (Winter et al., U.S. Pat. Nos. 5,648,260 and 5,624,821). The Fc portion of an antibody mediates several important effector functions such as cytokine induction, ADCC, phagocytosis, complement-dependent cytotoxicity (CDC), and half-life / clearance of antibodies and antigen-antibody complexes. Depending on the therapeutic goals, these effector functions may be required for therapeutic antibodies in some cases but may be unnecessary or even harmful in other cases. Certain human IgG isotypes, particularly IgG1 and IgG3, mediate ADCC and CDC via binding to FcγRs and complement C1q, respectively. Neonatal Fc receptor (FcRn) is a key component that determines the circulating half-life of antibodies. In another embodiment, at least one amino acid residue in the constant region of the antibody (eg, the Fc region of the antibody) is replaced in order to alter the effector function of the antibody. Dimerization of two identical heavy chains of an immunoglobulin is mediated by dimerization of the CH3 domain and stabilized by disulfide bonds in the hinge region (Huber et al., Nature , 264: 415-420 (1976); Thies et al., J. Mol. Biol. , 293: 67-79 (1999)). Mutation of cysteine residues in the hinge region to prevent heavy chain-heavy chain disulfide bonds will destabilize the dimerization of the CH3 domain. Residues responsible for CH3 dimerization have been identified (Dall'Acqua et al., Biochemistry , 37: 9266-9273 (1998)). Therefore, it is possible to generate a half-valent Ig. Interestingly, these monovalent semi-Ig molecules of both IgG and IgA subclasses have been found in nature (Seligmann et al., Ann. Immunol. , 129 C: 855-870 (1978); Biewenga et al., Clin . Exp Immunol. , 51: 395-400 (1983)). The stoichiometry of the FcRn: Ig Fc region has been determined to be 2: 1 (West et al., Biochemistry , 39: 9698-9708 (2000)), and the half Fc is sufficient to mediate FcRn binding (Kim et al., Eur. J. Immunol. 24: 542-548 (1994)). Mutations that disrupt the dimerization of the CH3 domain may not have a greater adverse effect on its FcRn binding. This is due to the fact that residues important for CH3 dimerization are located on the internal interface of the CH3 b sheet structure, and are responsible for FcRn binding. This area is located on the external interface of the CH2-CH3 domain. However, hemi-Ig molecules can have some advantages in tissue penetration due to their smaller size than regular antibodies. In one embodiment, at least one amino acid residue in the constant region (eg, the Fc region) of the binding protein of the present invention is replaced in order to disrupt the dimerization of the heavy chain, resulting in a semi-DVD Ig molecule. The anti-inflammatory activity of IgG depends entirely on the sialylation of the N-linked glycans of the IgG Fc fragment. The precise glycan requirements for anti-inflammatory activity have been identified so that appropriate IgG1 Fc fragments can be produced, which in turn produces fully recombinant, sialylated IgG1 Fc with greatly enhanced potency (Anthony et al., Science , 320: 373-376 (2008)).

術語抗體之「抗原結合部分」係指保留與抗原(例如hIL-1β)特異性結合之能力之抗體的一或多個片段。已展示可由全長抗體之片段執行抗體之抗原結合功能。該等抗體實施例亦可為雙特異性、雙重特異性或多特異性形式;特異性結合於兩個或兩個以上不同抗原(例如,hIL-1β及另一抗原分子,諸如hIL-1β及hIL-1α)。涵蓋於術語抗體之「抗原結合部分」內之結合片段的實例包括(i)Fab片段,其為由VL、VH、CL及CH1域組成之單價片段;(ii)F(ab')2片段,其為包含由在鉸鏈區處之二硫橋連接之兩個Fab片段的二價片段;(iii)由VH及CH1域組成之Fd片段;(iv)由抗體之單臂之VL及VH域組成之Fv片段;(v)包含單一可變域之dAb片段(Ward等人,Nature,341:544-546(1989);PCT公開案第WO 90/05144號);及(vi)經分離之互補決定區(CDR)。此外,儘管Fv片段之兩個域(VL及VH)由獨立基因編碼,但其可使用重組方法由合成連接子接合,該連接子能夠使其製造成其中VL及VH區成對形成單價分子之單一蛋白質鏈(稱為單鏈Fv(scFv);參見例如Bird等人,Science,242:423-426(1988);及Huston等人,Proc.Natl.Acad. Sci.USA,85:5879-5883(1988))。該等單鏈抗體亦意欲涵蓋於術語抗體之「抗原結合部分」內。亦涵蓋其他形式之單鏈抗體,諸如雙功能抗體。雙功能抗體為二價、雙特異性抗體,其中VH及VL域表現於單一多肽鏈上,但使用過短而不允許同一鏈上之兩個域之間成對的連接子,藉此迫使該等域與另一鏈之互補域成對且產生兩個抗原結合位點(參見例如Holliger等人,Proc.Natl.Acad.Sci.USA,90:6444-6448(1993);Poljak,R.J.,Structure,2:1121-1123(1994))。該等抗體結合部分在此項技術中為已知的(Kontermann及Dübel編,Antibody Engineering(Springer-Verlag,New York,2001),第790頁(ISBN 3-540-41354-5))。另外,單鏈抗體亦包括「線性抗體」,其包含與互補輕鏈多肽一起形成一對抗原結合區之一對串聯Fv區段(VH-CH1-VH-CH1)(Zapata等人,Protein Eng.,8(10):1057-1062(1995);及美國專利第5,641,870號)。 The term "antigen-binding portion" of an antibody refers to one or more fragments of an antibody that retain the ability to specifically bind to an antigen, such as hIL-1β. It has been shown that the antigen-binding function of an antibody can be performed by fragments of a full-length antibody. Examples of such antibodies may also be in a bispecific, dual specific, or multispecific format; specific binding to two or more different antigens (e.g., hIL-1β and another antigen molecule such as hIL-1β and hIL-1α). Examples of binding fragments encompassed within the "antigen-binding portion" of the term antibody include (i) Fab fragments, which are monovalent fragments consisting of VL, VH, CL, and CH1 domains; (ii) F (ab ') 2 fragments, It is a bivalent fragment comprising two Fab fragments connected by a disulfide bridge at the hinge region; (iii) an Fd fragment consisting of the VH and CH1 domains; (iv) consisting of the VL and VH domains of one arm of an antibody Fv fragments; (v) dAb fragments containing a single variable domain (Ward et al., Nature , 341: 544-546 (1989); PCT Publication No. WO 90/05144); and (vi) isolated complements Decision region (CDR). In addition, although the two domains (VL and VH) of the Fv fragment are encoded by separate genes, they can be joined by a synthetic linker using recombinant methods that enable them to be made into pairs in which the VL and VH regions form a monovalent molecule Single protein chain (referred to as single-chain Fv (scFv); see, eg, Bird et al., Science , 242: 423-426 (1988); and Huston et al., Proc. Natl. Acad. Sci . USA , 85: 5879-5883 (1988)). These single chain antibodies are also intended to be encompassed by the "antigen-binding portion" of the term antibody. Other forms of single chain antibodies are also contemplated, such as bifunctional antibodies. Bifunctional antibodies are bivalent, bispecific antibodies in which the VH and VL domains appear on a single polypeptide chain, but they are too short to allow paired linkers between the two domains on the same chain, thereby forcing the The isodomain is paired with the complementary domain of another chain and creates two antigen-binding sites (see, eg, Holliger et al., Proc. Natl. Acad. Sci. USA , 90: 6444-6448 (1993); Poljak, RJ, Structure 2: 1121-1123 (1994)). These antibody-binding moieties are known in the art (ed. Kontermann and Dübel, Antibody Engineering (Springer-Verlag, New York, 2001), page 790 (ISBN 3-540-41354-5)). In addition, single-chain antibodies also include "linear antibodies," which contain a pair of tandem Fv segments (VH-CH1-VH-CH1) that form one of a pair of antigen-binding regions with a complementary light chain polypeptide (Zapata et al., Protein Eng. 8 (10): 1057-1062 (1995); and U.S. Patent No. 5,641,870).

免疫球蛋白恆定(C)域係指重鏈(CH)或輕鏈(CL)恆定域。鼠類及人類IgG重鏈及輕鏈恆定域胺基酸序列在此項技術中為已知的。 The immunoglobulin constant (C) domain refers to the heavy (CH) or light (CL) constant domain. Murine and human IgG heavy and light chain constant domain amino acid sequences are known in the art.

術語「IL-1β結合蛋白構築體」(或「結合蛋白構築體」)係指包含一或多個與連接子多肽或免疫球蛋白恆定域連接之本發明抗原結合部分的多肽。「連接子多肽」包含兩個或兩個以上由肽鍵接合之胺基酸殘基且用於連接一或多個抗原結合部分。該等連接子多肽在此項技術中已為熟知(參見例如Holliger等人,Proc.Natl.Acad.Sci.USA,90:6444-6448(1993);Poljak,R.J.,Structure,2:1121-1123(1994))。免疫球蛋白恆定域係指重鏈或輕鏈恆定域。人類IgG重鏈及輕鏈恆定域胺基酸序列在此項技術中為已知的且呈現於表2中。 The term "IL-1β binding protein construct" (or "binding protein construct") refers to a polypeptide comprising one or more antigen-binding portions of the invention linked to a linker polypeptide or an immunoglobulin constant domain. A "linker polypeptide" comprises two or more amino acid residues joined by peptide bonds and is used to link one or more antigen-binding moieties. Such linker polypeptides are well known in the art (see, for example, Holliger et al., Proc. Natl. Acad. Sci. USA , 90: 6444-6448 (1993); Poljak, RJ, Structure , 2: 1121-1123 (1994)). An immunoglobulin constant domain refers to a heavy or light chain constant domain. Human IgG heavy and light chain constant domain amino acid sequences are known in the art and are presented in Table 2.

表2. 人類IgG重鏈恆定域及輕鏈恆定域之序列Table 2. Sequences of the human IgG heavy chain constant domain and light chain constant domain

Figure TWI615405BD00037
Figure TWI615405BD00037

此外,IL-1β結合蛋白(諸如抗體或其抗原結合部分)可為藉由抗體或抗原結合部分與一或多個其他蛋白質或肽共價或非共價締合而形成 之較大免疫黏著分子的一部分。該等免疫黏著分子之實例包括使用抗生蛋白鏈菌素核心區來產生四聚scFv分子(Kipriyanov等人,Human Antibod.Hybridomas,6:93-101(1995))及使用半胱胺酸殘基、標記肽及C端聚組胺酸標籤來產生二價且經生物素標記之scFv分子(Kipriyanov等人,Mol.Immunol.,31:1047-1058(1994))。可使用習知技術自完整抗體製備諸如Fab及F(ab')2片段之抗體部分,諸如分別對完整抗體進行木瓜蛋白酶或胃蛋白酶消化。此外,可使用標準重組DNA技術獲得抗體、其抗原結合部分及免疫黏著分子。 In addition, an IL-1β binding protein, such as an antibody or an antigen-binding portion thereof, can be a larger immunoadhesive molecule formed by covalent or non-covalent association of an antibody or antigen-binding portion with one or more other proteins or peptides. a part of. Examples of such immunoadhesive molecules include the use of a streptavidin core region to generate a tetrameric scFv molecule (Kipriyanov et al., Human Antibod . Hybridomas , 6: 93-101 (1995)) and the use of cysteine residues, The peptide and C-terminal polyhistidine tag are labeled to generate a bivalent and biotin-labeled scFv molecule (Kipriyanov et al., Mol. Immunol. , 31: 1047-1058 (1994)). Antibodies such as Fab and F (ab ') 2 fragments can be prepared from intact antibodies using conventional techniques, such as papain or pepsin digestion of the intact antibodies, respectively. In addition, antibodies, their antigen-binding portions, and immunoadhesion molecules can be obtained using standard recombinant DNA techniques.

「經分離抗體」意指實質上不含具有不同抗原特異性之其他抗體的抗體(例如特異性結合hIL-1β之經分離抗體實質上不含特異性結合非hIL-1β之抗原的抗體)。然而,特異性結合hIL-1β之經分離抗體可對其他抗原(諸如來自其他物種之IL-1β分子)具有交叉反應性。此外,經分離抗體可實質上不含其他細胞物質及/或化學物質。 "Isolated antibody" means an antibody that is substantially free of other antibodies with different antigen specificities (eg, an isolated antibody that specifically binds hIL-1β is substantially free of antibodies that specifically bind non-hIL-1β antigens). However, isolated antibodies that specifically bind hIL-1β can be cross-reactive to other antigens, such as IL-1β molecules from other species. In addition, the isolated antibodies may be substantially free of other cellular material and / or chemicals.

術語「單株抗體」或「mAb」係指自實質上同源的抗體之群體獲得之抗體,亦即構成該群體之個別抗體除可以微小量存在的可能天然產生之突變外皆相同。單株抗體針對單一抗原具高度特異性。此外,與通常包括針對不同決定子(抗原決定基)之不同抗體的多株抗體製劑相比,每一mAb針對抗原上之單一決定子。修飾語「單株」不應理解為需要藉由任何特定方法產生抗體。 The term "single antibody" or "mAb" refers to an antibody obtained from a population of substantially homogeneous antibodies, that is, the individual antibodies that make up the population are the same except for mutations that may occur naturally in small amounts. Monoclonal antibodies are highly specific against a single antigen. In addition, each mAb is directed against a single determinant on the antigen, as compared to a multiple strain antibody preparation that typically includes different antibodies directed against different determinants (antigenic determinants). The modifier "single strain" should not be understood as requiring the production of antibodies by any particular method.

術語「人類抗體」包括具有來源於人類生殖系免疫球蛋白序列之可變區及恆定區的抗體。本發明之人類抗體可包括不由人類生殖系免疫球蛋白序列編碼之胺基酸殘基(例如由活體外隨機或位點特異性突變誘發或由活體內體細胞突變引入之突變),例如在CDR中且尤其在CDR3中。然而,術語「人類抗體」不包括來源於另一哺乳動物物種(諸如小鼠)之生殖系的CDR序列已移植至人類構架序列上之抗體。 The term "human antibody" includes antibodies having variable and constant regions derived from human germline immunoglobulin sequences. Human antibodies of the invention may include amino acid residues that are not encoded by human germline immunoglobulin sequences (e.g., mutations induced by random or site-specific mutations in vitro or introduced by somatic mutations in vivo), such as in CDRs And especially in CDR3. However, the term "human antibody" does not include antibodies from which the CDR sequences of the germline of another mammalian species, such as a mouse, have been transplanted onto human framework sequences.

術語「重組人類抗體」包括由重組方式製備、表現、產生或分離 之所有人類抗體,諸如使用轉染至宿主細胞中之重組表現載體表現之抗體(進一步描述於以下II C部分中)、自重組性組合人類抗體文庫分離之抗體(Hoogenboom,H.R.,Trends Biotechnol.,15:62-70(1997);Azzazy及Highsmith,Clin.Biochem.,35:425-445(2002);Gavilondo及Larrick,BioTechniques,29:128-145(2000);Hoogenboom及Chames,Immunol.Today,21:371-378(2000))、自針對人類免疫球蛋白基因進行基因轉殖之動物(例如小鼠)分離之抗體(參見例如Taylor等人,Nucl.Acids Res.,20:6287-6295(1992);Kellermann及Green,Curr.Opin.Biotechnol.,13:593-597(2002);Little等人,Immunol.Today,21:364-370(2000));或由涉及將人類免疫球蛋白基因序列拼接至其他DNA序列之任何其他方式製備、表現、產生或分離之抗體。該等重組人類抗體具有來源於人類生殖系免疫球蛋白序列之可變區及恆定區。然而,在某些實施例中,該等重組人類抗體經受活體外突變誘發(或當使用針對人類Ig序列進行基因轉殖之動物時,則經受活體內體細胞突變誘發),且因此重組抗體之VH及VL區之胺基酸序列為儘管來源於人類生殖系VH及VL序列且與之相關,但可能天然不存在於活體內人類抗體生殖系譜系內的序列。 The term "recombinant human antibody" includes all human antibodies made, expressed, produced or isolated recombinantly, such as antibodies expressed using recombinant expression vectors transfected into host cells (further described in Section II C below), self-recombinant Antibodies isolated from human antibody libraries (Hoogenboom, HR, Trends Biotechnol. , 15: 62-70 (1997); Azzazy and Highsmith, Clin. Biochem. , 35: 425-445 (2002); Gavilondo and Larrick, BioTechniques , 29: 128-145 (2000); Hoogenboom and Chames, Immunol. Today, 21: 371-378 (2000)), antibodies isolated from animals (e.g., mice) transgenic for human immunoglobulin genes (see also For example, Taylor et al., Nucl. Acids Res. , 20: 6287-6295 (1992); Kellermann and Green, Curr. Opin. Biotechnol., 13: 593-597 (2002); Little et al., Immunol. Today , 21: 364-370 (2000)); or antibodies prepared, expressed, produced, or isolated by any other means involving splicing of human immunoglobulin gene sequences to other DNA sequences. These recombinant human antibodies have variable and constant regions derived from human germline immunoglobulin sequences. However, in certain embodiments, the recombinant human antibodies are subjected to in vitro mutation induction (or in vivo somatic mutation induction when using animals transgenic to human Ig sequences), and therefore the recombinant antibodies are The amino acid sequences of the VH and VL regions are sequences that, although derived from and related to the human germline VH and VL sequences, may not naturally exist in the human antibody germline lineage in vivo.

術語「嵌合抗體」係指包含來自一個物種之重鏈及輕鏈可變區序列及來自另一物種之恆定區序列的抗體,諸如具有與人類恆定區連接之鼠類重鏈及輕鏈可變區的抗體。 The term "chimeric antibody" refers to an antibody comprising heavy and light chain variable region sequences from one species and constant region sequences from another species, such as murine heavy and light chains with Variable region antibodies.

術語「CDR移植抗體」係指包含來自一個物種之重鏈及輕鏈可變區序列,但VH及/或VL之一或多個CDR區之序列經另一物種之CDR序列置換的抗體,諸如具有鼠類重鏈及輕鏈可變區之抗體,其中一或多個鼠類CDR(例如CDR3)已經人類CDR序列置換。 The term "CDR-grafted antibody" refers to an antibody that contains the heavy and light chain variable region sequences from one species, but the sequence of one or more of the CDR regions of VH and / or VL has been replaced by a CDR sequence of another species, such as Antibodies with murine heavy and light chain variable regions, in which one or more murine CDRs (eg, CDR3) have been replaced with human CDR sequences.

術語「CDR」係指抗體可變序列內之互補決定區。在重鏈及輕鏈之各可變區中存在三個CDR,對於各可變區指定為CDR1、CDR2及 CDR3。如本文所用之術語「CDR集合」係指出現於能夠結合抗原之單一可變區中之三個CDR之群組。已根據不同系統來不同地定義此等CDR之精確邊界。Kabat所述之系統(Kabat等人,Sequences of Proteins of Immunological Interest(National Institutes of Health,Bethesda,Maryland(1987)及(1991))不僅提供適用於抗體之任何可變區之明確殘基編號系統,而且提供界定三個CDR之精確殘基邊界。此等CDR可稱為Kabat CDR。Chothia及同事(Chothia及Lesk,J.Mol.Biol.,196:901-917(1987);及Chothia等人,Nature,342:877-883(1989))發現,Kabat CDR內之某些子部分儘管在胺基酸序列層面上具有極大差異,但採用幾乎相同之肽骨架構形。此等子部分指定為L1、L2及L3或H1、H2及H3,其中「L」及「H」分別表示輕鏈區及重鏈區。此等區域可稱為Chothia CDR,其具有與Kabat CDR重疊之邊界。界定與Kabat CDR重疊之CDR的其他邊界已由Padlan等人(FASEB J.,9:133-139(1995))及MacCallum等人(J.Mol.Biol.,262(5):732-745(1996))描述。其他CDR邊界定義可能不嚴格遵循上述系統之一,但仍然與Kabat CDR重疊,惟鑒於特定殘基或殘基群組或甚至整個CDR不會顯著影響抗原結合之預測或實驗發現而可將其縮短或延長。雖然例示性實施例使用Kabat或Chothia定義之CDR,但本文所用之方法可利用根據任何此等系統定義之CDR。 The term "CDR" refers to the complementarity determining region within the variable sequence of an antibody. There are three CDRs in each variable region of the heavy and light chains, and each variable region is designated as CDR1, CDR2, and CDR3. The term "CDR set" as used herein refers to a group of three CDRs that occur in a single variable region capable of binding an antigen. The precise boundaries of these CDRs have been defined differently according to different systems. The system described by Kabat (Kabat et al., Sequences of Proteins of Immunological Interest (National Institutes of Health, Bethesda, Maryland (1987) and (1991)) not only provides a clear residue numbering system applicable to any variable region of an antibody, Moreover, precise residue boundaries defining the three CDRs are provided. These CDRs may be referred to as Kabat CDRs. Chothia and colleagues (Chothia and Lesk, J. Mol. Biol. , 196: 901-917 (1987); and Chothia et al., Nature , 342: 877-883 (1989)) found that some sub-portions within the Kabat CDR, although having significant differences in the amino acid sequence level, adopt almost the same peptide bone structure. These sub-portions are designated as L1 , L2 and L3 or H1, H2, and H3, where "L" and "H" represent the light chain region and the heavy chain region, respectively. These regions can be called Chothia CDRs, which have boundaries that overlap with Kabat CDRs. Defined with Kabat Other boundaries of CDR overlapping CDRs have been developed by Padlan et al. ( FASEB J. , 9: 133-139 (1995)) and MacCallum et al. ( J. Mol. Biol. , 262 (5): 732-745 (1996)) Description. Other CDR boundary definitions may not strictly follow one of the above systems, but still overlap with Kabat CDR. Specific residues or groups of residues, or even the entire CDRs, do not significantly affect the prediction or experimental discovery of antigen binding and can be shortened or lengthened. Although exemplary embodiments use CDRs defined by Kabat or Chothia, the methods used herein may be Take advantage of CDRs defined under any of these systems.

術語「Kabat編號」、「Kabat定義」及「kabat標記」在本文中可互換使用。此項技術中公認之此等術語係指對抗體或其抗原結合部分之重鏈及輕鏈可變區中相較於其他胺基酸殘基更加可變(亦即高變)之胺基酸殘基進行編號的系統(Kabat等人,Ann.NY Acad.Sci.,190:382-391(1971);及Kabat等人,Sequences of Proteins of Immunological Interest第5版,U.S.Department of Health and Human Services,NIH公開案第91-3242(1991)號)。對於重鏈可變區,高變區之範圍為 CDR1之胺基酸位置31至35、CDR2之胺基酸位置50至65,及CDR3之胺基酸位置95至102。對於輕鏈可變區,高變區之範圍為CDR1之胺基酸位置24至34、CDR2之胺基酸位置50至56,及CDR3之胺基酸位置89至97。 The terms "Kabat number", "Kabat definition" and "kabat mark" are used interchangeably herein. These terms are generally recognized in the art to refer to amino acids that are more variable (i.e. hypervariable) in the heavy and light chain variable regions of an antibody or its antigen-binding portion than other amino acid residues Residue Numbering System (Kabat et al., Ann. NY Acad. Sci. , 190: 382-391 (1971); and Kabat et al., Sequences of Proteins of Immunological Interest , 5th Edition , USDepartment of Health and Human Services NIH Publication No. 91-3242 (1991)). For heavy chain variable regions, the hypervariable regions range from amino acid positions 31 to 35 of CDR1, amino acid positions 50 to 65 of CDR2, and amino acid positions 95 to 102 of CDR3. For the light chain variable region, the hypervariable region ranges from amino acid positions 24 to 34 of CDR1, amino acid positions 50 to 56 of CDR2, and amino acid positions 89 to 97 of CDR3.

在過去二十年間關於可變重鏈及輕鏈區之胺基酸序列之廣泛公共資料庫的成長及分析使得可瞭解可變區序列內構架區(FR)與CDR序列之間的典型邊界且使得熟習此項技術者能夠根據Kabat編號、Chothia編號或其他系統精確確定CDR。參見例如Martin,「Protein Sequence and Structure Analysis of Antibody Variable Domains」,第31章,Antibody Engineering,(Kontermann及Dübel編)(Springer-Verlag,Berlin,2001),尤其第432-433頁。下文提供測定可變重鏈(VH)及可變輕鏈(VL)區之胺基酸序列內Kabat CDR之胺基酸序列的有用方法:鑑別CDR-L1胺基酸序列:自VL區之胺基末端起始約24個胺基酸殘基;CDR-L1序列前之殘基常常為半胱胺酸(C);CDR-L1序列後之殘基常常為色胺酸(W)殘基,通常為Trp-Tyr-Gln(W-Y-Q),但亦可為Trp-Leu-Gln(W-L-Q)、Trp-Phe-Gln(W-F-Q)及Trp-Tyr-Leu(W-Y-L);長度通常為10至17個胺基酸殘基。 The growth and analysis of an extensive public database of amino acid sequences of the variable heavy and light chain regions over the past two decades has made it possible to understand the typical boundaries between the framework region (FR) and CDR sequences within the variable region sequence and This allows those skilled in the art to accurately determine CDRs based on Kabat numbering, Chothia numbering, or other systems. See, eg, Martin, "Protein Sequence and Structure Analysis of Antibody Variable Domains", Chapter 31, Antibody Engineering, (eds. By Kontermann and Dübel) (Springer-Verlag, Berlin, 2001), especially pages 432-433. The following provides a useful method for determining the amino acid sequence of the Kabat CDR within the amino acid sequence of the variable heavy chain (VH) and variable light chain (VL) regions: Identifying the CDR-L1 amino acid sequence: the amine from the VL region The base terminus starts with about 24 amino acid residues; residues before the CDR-L1 sequence are often cysteine (C); residues after the CDR-L1 sequence are often tryptophan (W) residues, Usually Trp-Tyr-Gln (WYQ), but can also be Trp-Leu-Gln (WLQ), Trp-Phe-Gln (WFQ), and Trp-Tyr-Leu (WYL); usually 10 to 17 amines in length Acid residues.

鑑別CDR-L2胺基酸序列:在CDR-L1末端後常常起始16個殘基;CDR-L2序列前之殘基一般為Ile-Tyr(I-Y),但亦可為Val-Tyr(V-Y)、Ile-Lys(I-K)及Ile-Phe(I-F);長度通常為7個胺基酸殘基。 Identification of CDR-L2 amino acid sequences: 16 residues are often initiated after the CDR-L1 terminus; residues before the CDR-L2 sequence are generally Ile-Tyr (IY), but can also be Val-Tyr (VY) , Ile-Lys (IK) and Ile-Phe (IF); usually 7 amino acid residues in length.

鑑別CDR-L3胺基酸序列:在CDR-L2末端後常常起始33個胺基酸; CDR-L3胺基酸序列前之殘基常常為半胱胺酸(C);CDR-L3序列後之殘基常常為Phe-Gly-X-Gly(F-G-X-G)(SEQ ID NO:11),其中X為任何胺基酸;長度通常為7至11個胺基酸殘基。 Identification of CDR-L3 amino acid sequences: 33 amino acids are often initiated after the CDR-L2 terminus; The residue before the CDR-L3 amino acid sequence is often cysteine (C); the residue after the CDR-L3 sequence is often Phe-Gly-X-Gly (FGXG) (SEQ ID NO: 11), where X is any amino acid; it is typically 7 to 11 amino acid residues in length.

鑑別CDR-H1胺基酸序列:自VH區之胺基末端起始約31個胺基酸殘基且半胱胺酸(C)後常常為9個殘基;CDR-H1序列前之殘基常常為Cys-X-X-X-X-X-X-X-X(SEQ ID NO:12),其中X為任何胺基酸;CDR-H1序列後之殘基常常為Trp(W),通常為Trp-Val(W-V),但亦可為Trp-Ile(W-I)及Trp-Ala(W-A);長度通常為5至7個胺基酸殘基。 Identification of CDR-H1 amino acid sequences: about 31 amino acid residues starting from the amine end of the VH region and often 9 residues after cysteine (C); residues before the CDR-H1 sequence Often Cys-XXXXXXXX (SEQ ID NO: 12), where X is any amino acid; the residue after the CDR-H1 sequence is often Trp (W), usually Trp-Val (WV), but it can also be Trp -Ile (WI) and Trp-Ala (WA); usually 5 to 7 amino acid residues in length.

鑑別CDR-H2胺基酸序列:在CDR-H1末端後常常起始15個胺基酸殘基;CDR-H2序列前之殘基通常為Leu-Glu-Trp-Ile-Gly(L-E-W-I-G)(SEQ ID NO:23),但亦可為其他變化形式;CDR-H2序列後之殘基為Lys/Arg-Leu/Ile/Val/Phe/Thr/Ala-Thr/Ser/Ile/Ala(K/R-L/I/V/F/T/A-T/S/I/A);長度通常為16至19個胺基酸殘基。 Identification of CDR-H2 amino acid sequences: 15 amino acid residues are often initiated after the CDR-H1 terminus; residues before the CDR-H2 sequence are usually Leu-Glu-Trp-Ile-Gly (LEWIG) (SEQ ID NO: 23), but can also be other variations; the residues after the CDR-H2 sequence are Lys / Arg-Leu / Ile / Val / Phe / Thr / Ala-Thr / Ser / Ile / Ala (K / RL / I / V / F / T / AT / S / I / A); usually 16 to 19 amino acid residues in length.

鑑別CDR-H3胺基酸序列:在CDR-H2末端後常常起始33個胺基酸殘基且在半胱胺酸(C)'後常常為3個胺基酸殘基;CDR-H3序列前之殘基常常為Cys-X-X(C-X-X),其中X為任何胺基酸,通常為Cys-Ala-Arg(C-A-R);CDR-H3序列後之殘基常常為Trp-Gly-X-Gly(W-G-X-G)(SEQ ID NO:24),其中X為任何胺基酸; 長度通常為3至25個胺基酸殘基。 Identification of CDR-H3 amino acid sequences: 33 amino acid residues are often initiated after the CDR-H2 terminus and often 3 amino acid residues after cysteine (C) '; CDR-H3 sequence The former residue is often Cys-XX (CXX), where X is any amino acid, usually Cys-Ala-Arg (CAR); the residue after the CDR-H3 sequence is often Trp-Gly-X-Gly ( WGXG) (SEQ ID NO: 24), where X is any amino acid; It is usually 3 to 25 amino acid residues in length.

如本文所用之術語「典型」殘基係指CDR或構架中界定如以下文獻所定義之特定典型CDR結構之殘基(Chothia等人(J.Mol.Biol.,196:901-917(1987));及Chothia等人(J.Mol.Biol.,227:799-817(1992)),兩者均以引用的方式併入本文中)。根據Chothia等人,許多抗體之CDR之關鍵部分儘管在胺基酸序列層面上具有極大差異,但具有幾乎相同之肽骨架構形。各典型結構主要指定一組使胺基酸殘基之鄰接區段形成環之肽骨架扭角。 The term "typical" residue as used herein refers to a residue in the CDR or framework that defines a specific typical CDR structure as defined in the following literature (Chothia et al. ( J. Mol. Biol. , 196: 901-917 (1987) ); And Chothia et al. ( J. Mol. Biol. , 227: 799-817 (1992)), both of which are incorporated herein by reference). According to Chothia et al., The critical part of the CDRs of many antibodies, despite their great differences at the amino acid sequence level, have almost the same peptide bone structure. Each typical structure mainly specifies a set of peptide backbone twist angles that make adjacent segments of amino acid residues form a loop.

「親和力成熟」抗體為其一或多個CDR中具有一或多個變化之抗體,該或該等變化導致與不擁有彼等變化之親本抗體相比,抗體對於標靶抗原之親和力改良。例示性親和力成熟抗體將具有對於標靶抗原之奈莫耳或甚至皮莫耳親和力。多種製備親和力成熟抗體之程序在此項技術中已知。舉例而言,Marks等人,BioTechnology,10:779-783(1992)描述藉由VH及VL域改組之親和力成熟。Barbas等人,Proc.Nat.Acad.Sci.USA,91:3809-3813(1994);Schier等人,Gene,169:147-155(1995);Yelton等人,J.Immunol.,155:1994-2004(1995);Jackson等人,J.Immunol.,154(7):3310-3319(1995);Hawkins等人,J.Mol.Biol.,226:889-896(1992)描述CDR及/或構架殘基之隨機突變誘發。選擇性突變誘發位置及接觸或超突變位置處之藉由活性增強胺基酸殘基之選擇性突變如美國專利第6,914,128 B1號中所描述。 An "affinity matured" antibody is an antibody that has one or more changes in one or more CDRs that results in an improved affinity for the target antigen of the antibody compared to a parent antibody that does not have them. Exemplary affinity matured antibodies will have a nanomole or even a picomol affinity for the target antigen. A variety of procedures for making affinity mature antibodies are known in the art. For example, Marks et al., BioTechnology , 10: 779-783 (1992) describe affinity maturation by VH and VL domain shuffling. Barbas et al., Proc. Nat. Acad. Sci. USA , 91: 3809-3813 (1994); Schier et al., Gene , 169: 147-155 (1995); Yelton et al. , J. Immunol. , 155: 1994 -2004 (1995); Jackson et al. , J. Immunol. , 154 (7): 3310-3319 (1995); Hawkins et al., J. Mol. Biol. , 226: 889-896 (1992) describe CDRs and / Or induced by random mutation of framework residues. Selective mutations at sites of selective mutation induction and contact or hypermutation by enhanced activity of amino acid residues are described in US Patent No. 6,914,128 B1.

術語「多價結合蛋白」表示包含兩個或兩個以上抗原結合位點之結合蛋白。多價結合蛋白較佳經工程改造以具有三個或三個以上抗原結合位點,且一般不為天然產生之抗體。術語「多特異性結合蛋白」係指能夠結合兩個或兩個以上相關或無關標靶之結合蛋白。本發明之「雙重可變域」(「DVD」)結合蛋白包含兩個或兩個以上抗原結合位點且為四價或多價結合蛋白。DVD可為單特異性,亦即能夠結合一個 抗原;或為多特異性,亦即能夠結合兩個或兩個以上抗原。包含兩個重鏈DVD多肽及兩個輕鏈DVD多肽之DVD結合蛋白稱為「DVD免疫球蛋白」或「DVD-Ig」。DVD Ig之每一半包含重鏈DVD多肽及輕鏈DVD多肽,以及兩個或兩個以上抗原結合位點。各結合位點包含重鏈可變域及輕鏈可變域,每個抗原結合位點總共有6個CDR涉及抗原結合。 The term "multivalent binding protein" means a binding protein comprising two or more antigen-binding sites. Multivalent binding proteins are preferably engineered to have three or more antigen-binding sites and are generally not naturally occurring antibodies. The term "multispecific binding protein" refers to a binding protein capable of binding two or more related or unrelated targets. The "dual variable domain" ("DVD") binding protein of the present invention comprises two or more antigen binding sites and is a tetravalent or multivalent binding protein. DVD can be monospecific, that is, it can bind one Antigen; or multispecific, that is, capable of binding two or more antigens. A DVD binding protein comprising two heavy chain DVD polypeptides and two light chain DVD polypeptides is called a "DVD immunoglobulin" or "DVD-Ig". Each half of the DVD Ig contains a heavy chain DVD polypeptide and a light chain DVD polypeptide, and two or more antigen binding sites. Each binding site contains a heavy chain variable domain and a light chain variable domain. A total of 6 CDRs per antigen binding site are involved in antigen binding.

關於DVD-Ig分子之設計、表現及表徵的描述提供於PCT公開案第WO 2007/024715號;美國專利第7,612,181號;及Wu等人,Nature Biotechnol.,25:1290-1297(2007)中。該等DVD-Ig分子之較佳實例包含:包含結構式VD1-(X1)n-VD2-C-(X2)n之重鏈,其中VD1為第一重鏈可變域,VD2為第二重鏈可變域,C為重鏈恆定域,X1為連接子,限制條件為其不為CH1,X2為Fc區,且n為0或1,但較佳為1;及包含結構式VD1-(X1)n-VD2-C-(X2)n之輕鏈,其中VD1為第一輕鏈可變域,VD2為第二輕鏈可變域,C為輕鏈恆定域,X1為連接子,限制條件為其不為CH1,且X2不包含Fc區;且n為0或1,但較佳為1。該DVD-Ig可包含兩個該等重鏈及兩個該等輕鏈,其中各鏈包含串聯連接之可變域,在可變區之間無插入之恆定區,其中重鏈與輕鏈締合形成串聯之功能性抗原結合位點,且一對重鏈與輕鏈可與另一對重鏈與輕鏈締合形成具有四個功能性抗原結合位點之四聚體結合蛋白。在另一實例中,DVD-Ig分子可包含各包含串聯連接之三個可變域(VD1、VD2、VD3)的重鏈及輕鏈,在可變域之間無插入之恆定區,其中一對重鏈與輕鏈可締合形成三個抗原結合位點,且其中一對重鏈與輕鏈可與另一對重鏈與輕鏈締合形成具有六個抗原結合位點之四聚體結合蛋白。 A description of the design, performance, and characterization of DVD-Ig molecules is provided in PCT Publication No. WO 2007/024715; US Patent No. 7,612,181; and Wu et al., Nature Biotechnol. , 25: 1290-1297 (2007). Preferred examples of these DVD-Ig molecules include: a heavy chain comprising the structural formula VD1- (X1) n-VD2-C- (X2) n, where VD1 is the first heavy chain variable domain and VD2 is the second heavy Chain variable domain, C is the constant domain of heavy chain, X1 is the linker, the restriction is that it is not CH1, X2 is the Fc region, and n is 0 or 1, but preferably 1; and contains the structural formula VD1- (X1 ) n-VD2-C- (X2) n light chain, where VD1 is the first light chain variable domain, VD2 is the second light chain variable domain, C is the light chain constant domain, X1 is the linker, restrictions It is not CH1, and X2 does not include an Fc region; and n is 0 or 1, but preferably 1. The DVD-Ig may include two such heavy chains and two such light chains, wherein each chain includes a variable domain connected in series, and there is no constant region inserted between the variable regions, wherein the heavy chain and the light chain associate Combined to form a tandem functional antigen binding site, and one pair of heavy and light chains can associate with another pair of heavy and light chains to form a tetrameric binding protein with four functional antigen binding sites. In another example, the DVD-Ig molecule may include a heavy chain and a light chain each including three variable domains (VD1, VD2, VD3) connected in series, with no constant regions inserted between the variable domains, one of which The heavy and light chains can be associated to form three antigen-binding sites, and one of the heavy and light chains can be associated with another pair of heavy and light chains to form a tetramer with six antigen-binding sites Binding protein.

DVD-Ig結合蛋白可結合IL-1β之一或多個抗原決定基。DVD-Ig結合蛋白亦可結合IL-1β之抗原決定基及除IL-1β多肽外之第二標靶抗原 之抗原決定基。 The DVD-Ig binding protein can bind one or more epitopes of IL-1β. DVD-Ig binding protein can also bind to the epitope of IL-1β and a second target antigen other than IL-1β polypeptide Epitope.

如本文中所用之術語「雙特異性抗體」係指藉由以下技術產生之全長抗體:四源雜交瘤技術(參見Milstein及Cuello,Nature,305:537-540(1983));藉由兩個不同單株抗體之化學接合(參見Staerz等人,Nature,314:628-631(1985));或藉由孔洞中之瘤節法(knob-into-hole)或在Fc區中引入突變之類似方法(參見Holliger等人,Proc.Natl.Acad.Sci.USA,90(14):6444-6448(1993)),該等技術產生多個不同免疫球蛋白物質,其中僅一個為功能性雙特異性抗體。藉由分子功能,雙特異性抗體在其兩個結合臂之一者(一對HC/LC)上結合一個抗原(或抗原決定基),且在其第二臂(另一對HC/LC)上結合不同抗原(或抗原決定基)。藉由此定義,雙特異性抗體具有兩個不同之抗原結合臂(在特異性及CDR序列方面),且對於其結合之每一抗原而言為單價的。 The term "bispecific antibody" as used herein refers to a full-length antibody produced by the following technique: four-source hybridoma technology (see Milstein and Cuello, Nature , 305: 537-540 (1983)); by two Chemical conjugation of different monoclonal antibodies (see Staerz et al., Nature , 314: 628-631 (1985)); or similar by introducing a knob-into-hole in the hole or introducing mutations in the Fc region Methods (see Holliger et al., Proc. Natl. Acad. Sci. USA , 90 (14): 6444-6448 (1993)), these techniques produce multiple different immunoglobulin substances, of which only one is functionally bispecific Sexual antibodies. By molecular function, a bispecific antibody binds an antigen (or epitope) on one of its two binding arms (one pair of HC / LC) and on its second arm (the other pair of HC / LC) Binds different antigens (or epitopes). By this definition, a bispecific antibody has two different antigen-binding arms (in terms of specificity and CDR sequences) and is monovalent for each antigen to which it binds.

如本文中所用之術語「雙重特異性抗體」係指可在其兩個結合臂之每一者(一對HC/LC)中結合兩個不同抗原(或抗原決定基)之全長抗體(參見PCT公開案第WO 02/02773號)。因此,雙重特異性結合蛋白具有兩個具備相同特異性及相同CDR序列之相同抗原結合臂,且對於其結合之每一抗原而言為二價的。 As used herein, the term `` dual specific antibody '' refers to a full-length antibody that can bind two different antigens (or epitopes) in each of its two binding arms (a pair of HC / LC) (see PCT Publication No. WO 02/02773). Therefore, a dual specific binding protein has two identical antigen-binding arms with the same specificity and the same CDR sequence, and is bivalent for each antigen to which it binds.

結合蛋白之「功能性抗原結合位點」為能夠結合標靶抗原之一結合位點。抗原結合位點之抗原結合親和力未必如抗原結合位點所來源之親本抗體一樣強,但結合抗原之能力必須可使用已知用於評估抗體與抗原結合之多種方法中之任一者量測。此外,本文中多價抗體之每一抗原結合位點之抗原結合親和力不需在數量上相同。 A "functional antigen-binding site" of a binding protein is a binding site capable of binding to a target antigen. The antigen-binding affinity of the antigen-binding site may not be as strong as the parent antibody from which the antigen-binding site is derived, but the ability to bind the antigen must be measurable using any of a number of methods known to assess the binding of the antibody to the antigen . In addition, the antigen-binding affinity of each antigen-binding site of a multivalent antibody herein need not be the same in number.

術語「細胞激素」為由細胞群體釋放之蛋白質之通稱,該等蛋白質以細胞間介體形式作用於另一細胞群體。該等細胞激素之實例為淋巴介質、單核球激素及常規多肽激素。包括於細胞激素中者為生長激素,諸如人類生長激素、N-甲硫胺醯基人類生長激素及牛生長激素; 副甲狀腺素;甲狀腺素;胰島素;胰島素原;鬆弛素;鬆弛素原;醣蛋白激素,諸如濾泡刺激素(FSH)、甲狀腺刺激素(TSH)及促黃體素(LH);肝生長因子;纖維母細胞生長因子;促乳素;胎盤生乳素;腫瘤壞死因子,諸如腫瘤壞死因子-α(TNF-α)及腫瘤壞死因子-β(TNF-β);苗勒抑制物質(mullerian-inhibiting substance);小鼠促性腺激素相關肽;抑制素;活化素;血管內皮生長因子;整合素;血小板生成素(TPO);神經生長因子,諸如NGF-α;血小板生長因子;胎盤生長因子;轉型生長因子(TGF),諸如TGF-α及TGF-β;類胰島素生長因子-1及類胰島素生長因子-11;紅血球生成素(EPO);骨誘導因子;干擾素,諸如干擾素-α(IFN-α)、干擾素-β(IFN-β)及干擾素-γ(IFN-γ);群落刺激因子(CSF),諸如巨噬細胞-CSF(M-CSF);粒細胞巨噬細胞-CSF(GM-CSF);及粒細胞-CSF(G-CSF);介白素(IL),諸如IL-1、IL-2、IL-3、IL-4、IL-5、IL-6、IL-7、IL-8、IL-9、IL-10、IL-11、IL-12、IL-13、IL-15、IL-17、IL-18、IL-21、IL-22、IL-23、IL-33;及其他多肽因子,包括LIF及套組配位體(KL)。如本文中所用,術語細胞激素包括來自天然來源或來自重組細胞培養物之蛋白質及天然序列細胞激素之生物活性等效物。 The term "cytokine" is a general term for proteins released by a population of cells that act as an intercellular mediator on another population of cells. Examples of such cytokines are lymphoid mediators, monocyte hormones, and conventional polypeptide hormones. Included among cytokines are growth hormones, such as human growth hormone, N-methionamine-based human growth hormone, and bovine growth hormone; Parathyroid hormone; thyroxine; insulin; proinsulin; relaxin; pro Relaxin; glycoprotein hormones such as follicle stimulating hormone (FSH), thyroid stimulating hormone (TSH) and luteinizing hormone (LH); liver growth factor; Fibroblast growth factor; Prolactin; Placental lactogen; Tumor necrosis factors such as tumor necrosis factor-α (TNF-α) and tumor necrosis factor-β (TNF-β); Mullerian-inhibiting substance ); Mouse gonadotropin-related peptide; inhibin; activin; vascular endothelial growth factor; integrin; thrombopoietin (TPO); nerve growth factors such as NGF-α; platelet growth factor; placental growth factor; transitional growth Factors (TGF), such as TGF-α and TGF-β; insulin-like growth factor-1 and insulin-like growth factor-11; erythropoietin (EPO); osteoinductive factors; interferons, such as interferon-α (IFN- α), interferon-β (IFN-β) and interferon-γ (IFN-γ); community stimulating factors (CSF), such as macrophage-CSF (M-CSF); granulocyte macrophage-CSF ( GM-CSF); and granulocyte-CSF (G-CSF); interleukin (IL), such as IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, IL-12, IL-13, IL-15, IL- 17. IL-18, IL-21, IL-22, IL-23, IL-33; and other polypeptide factors, including LIF and kit ligands (KL). As used herein, the term cytokine includes proteins from natural sources or from recombinant cell cultures and biologically active equivalents of natural sequence cytokines.

如本文所用之術語「供體」及「供體抗體」係指提供一或多個CDR之抗體。在一例示性實施例中,供體抗體為來自不同於獲得或取得構架區之抗體之物種的抗體。在人類化抗體之情形中,術語「供體抗體」係指提供一或多個CDR之非人類抗體。 The terms "donor" and "donor antibody" as used herein refer to an antibody that provides one or more CDRs. In an exemplary embodiment, the donor antibody is an antibody from a species different from the antibody from which the framework region was obtained or obtained. In the case of humanized antibodies, the term "donor antibody" refers to a non-human antibody that provides one or more CDRs.

如本文所用之術語「構架」或「構架序列」係指可變區減去CDR之剩餘序列。因為CDR序列之準確定義可由不同系統確定,所以可相應不同地解釋構架序列之含義。六個CDR(輕鏈之CDR-L1、CDR-L2及CDR-L3以及重鏈之CDR-H1、CDR-H2及CDR-H3)亦將輕鏈及重鏈上之構架區在各鏈上劃分為四個子區(FR1、FR2、FR3及FR4),其中 CDR1位於FR1與FR2之間,CDR2位於FR2與FR3之間,且CDR3位於FR3與FR4之間。在不指定特定子區為FR1、FR2、FR3或FR4的情況下,如其他所提及之構架區表示單一天然產生之免疫球蛋白鏈之可變區內的組合FR。如本文所用,FR表示四個子區之一,且FRs表示構成構架區之四個子區中之兩者或兩者以上。 The term "framework" or "framework sequence" as used herein refers to the remaining sequence of the variable region minus the CDRs. Because the precise definition of a CDR sequence can be determined by different systems, the meaning of a framework sequence can be interpreted differently accordingly. Six CDRs (CDR-L1, CDR-L2, and CDR-L3 of the light chain and CDR-H1, CDR-H2, and CDR-H3 of the heavy chain) also divide the framework regions on the light and heavy chains on each chain Four sub-regions (FR1, FR2, FR3 and FR4), of which CDR1 is located between FR1 and FR2, CDR2 is located between FR2 and FR3, and CDR3 is located between FR3 and FR4. Without specifying a specific sub-region as FR1, FR2, FR3 or FR4, the framework region as mentioned refers to the combined FR in the variable region of a single naturally occurring immunoglobulin chain. As used herein, FR represents one of the four sub-regions, and FRs represents two or more of the four sub-regions constituting the framework region.

如本文所用之術語「受體」及「受體抗體」係指提供一或多個構架區之至少80%、至少85%、至少90%、至少95%、至少98%或100%之胺基酸序列的抗體或編碼一或多個構架區之至少80%、至少85%、至少90%、至少95%、至少98%或100%之胺基酸序列的核酸序列。在一些實施例中,術語「受體」係指提供恆定區之抗體胺基酸或編碼恆定區之核酸序列。在另一實施例中,術語「受體」係指提供構架區及恆定區中之一或多者的抗體胺基酸或編碼構架區及恆定區中之一或多者的核酸序列。在一特定實施例中,術語「受體」係指提供或編碼一或多個構架區之至少80%、較佳至少85%、至少90%、至少95%、至少98%或100%之胺基酸序列的人類抗體胺基酸或核酸序列。根據此實施例,受體可含有至少1個、至少2個、至少3個、至少4個、至少5個或至少10個不會出現於人類抗體之一或多個特定位置處的胺基酸殘基。接受體構架區及/或受體恆定區可例如來源於或獲自生殖系抗體基因、成熟抗體基因、功能抗體(例如此項技術中所熟知之抗體、開發中之抗體或可購得之抗體)。 The terms "receptor" and "receptor antibody" as used herein refer to providing at least 80%, at least 85%, at least 90%, at least 95%, at least 98%, or 100% of the amino groups of one or more framework regions An antibody to an acid sequence or a nucleic acid sequence encoding at least 80%, at least 85%, at least 90%, at least 95%, at least 98%, or 100% of the amino acid sequence of one or more framework regions. In some embodiments, the term "receptor" refers to an antibody amino acid or a nucleic acid sequence encoding a constant region that provides a constant region. In another embodiment, the term "receptor" refers to an antibody amino acid that provides one or more of the framework and constant regions or a nucleic acid sequence encoding one or more of the framework and constant regions. In a particular embodiment, the term "receptor" refers to an amine that provides or encodes at least 80%, preferably at least 85%, at least 90%, at least 95%, at least 98%, or 100% of the amines of one or more framework regions. Human antibody amino acid or nucleic acid sequence. According to this embodiment, the receptor may contain at least one, at least two, at least three, at least four, at least five, or at least ten amino acids that do not occur at one or more specific positions of a human antibody Residues. Receptor framework regions and / or receptor constant regions can be derived, for example, from germline antibody genes, mature antibody genes, functional antibodies (e.g., antibodies well known in the art, antibodies under development, or commercially available antibodies) ).

此項技術中已知人類重鏈及輕鏈受體序列。在本發明之一實施例中,人類重鏈及輕鏈受體序列係選自V-base(http://vbase.mrc-cpe.cam.ac.uk/)或IMGT®(international ImMunoGeneTics information system®)(http://imgt.cines.fr/textes/IMGTrepertoire/LocusGenes/)所列出之序列。在本發明之另一實施例中,人類重鏈及輕鏈受體序列係選自表3及表4中所述之序列。 Human heavy and light chain receptor sequences are known in the art. In one embodiment of the present invention, the human heavy and light chain receptor sequences are selected from V-base (http://vbase.mrc-cpe.cam.ac.uk/) or IMGT® (international ImMunoGeneTics information system ®) (http://imgt.cines.fr/textes/IMGTrepertoire/LocusGenes/). In another embodiment of the present invention, the human heavy and light chain receptor sequences are selected from the sequences described in Tables 3 and 4.

Figure TWI615405BD00038
Figure TWI615405BD00038
Figure TWI615405BD00039
Figure TWI615405BD00039
Figure TWI615405BD00040
Figure TWI615405BD00040
Figure TWI615405BD00041
Figure TWI615405BD00041

Figure TWI615405BD00042
Figure TWI615405BD00042
Figure TWI615405BD00043
Figure TWI615405BD00043
Figure TWI615405BD00044
Figure TWI615405BD00044

如本文所用之術語「生殖系抗體基因」或「基因片段」係指由未 經歷引起遺傳重排及突變以供特定免疫球蛋白表現之成熟過程的非淋巴樣細胞編碼之免疫球蛋白序列。(參見例如Shapiro等人,Crit.Rev.Immunol.,22(3):183-200(2002);Marchalonis等人,Adv.Exp.Med.Biol.,484:13-30(2001))。本發明之各種實施例所提供之優勢之一係源於以下認識:生殖系抗體基因與成熟抗體基因相比更可能使物種中之個體所特有之基本胺基酸序列結構保守,因此當治療性地用於該物種中時不太可能被認為是來自外來來源。 The term "germline antibody gene" or "gene fragment" as used herein refers to an immunoglobulin sequence encoded by a non-lymphoid cell that has not undergone a maturation process that causes genetic rearrangement and mutation for the expression of a particular immunoglobulin. (See, for example, Shapiro et al., Crit. Rev. Immunol . , 22 (3): 183-200 (2002); Marchalonis et al., Adv. Exp. Med. Biol. , 484: 13-30 (2001)). One of the advantages provided by the various embodiments of the present invention stems from the recognition that, compared to mature antibody genes, germline antibody genes are more likely to conserve the structure of basic amino acid sequences unique to individuals in a species, and therefore are therapeutic Land used in this species is unlikely to be considered to be from an alien source.

如本文所用之術語「關鍵」殘基係指可變區內對抗體、尤其人類化抗體之結合特異性及/或親和力具有較大影響之某些殘基。關鍵殘基包括(但不限於)以下一或多者:與CDR相鄰之殘基、潛在糖基化位點(可為N-糖基化位點或O-糖基化位點)、稀有殘基、能夠與抗原相互作用之殘基、能夠與CDR相互作用之殘基、典型殘基、介於重鏈可變區與輕鏈可變區之間的接觸殘基、維尼爾區內之殘基,及在可變重鏈CDR1之Chothia定義與第一重鏈構架之Kabat定義之間重疊的區域中之殘基。 The term "critical" residue as used herein refers to certain residues in the variable region that have a greater effect on the binding specificity and / or affinity of an antibody, especially a humanized antibody. Key residues include, but are not limited to, one or more of the following: residues adjacent to the CDRs, potential glycosylation sites (may be N-glycosylation sites or O-glycosylation sites), rare Residues, residues capable of interacting with antigens, residues capable of interacting with CDRs, typical residues, contact residues between the heavy chain variable region and the light chain variable region, Residues, and residues in regions that overlap between the Chothia definition of the variable heavy chain CDR1 and the Kabat definition of the first heavy chain framework.

術語「人類化抗體」係指包含來自非人類物種(例如小鼠)之重鏈及輕鏈可變區序列但其中VH及/或VL序列中之至少一部分已改變為更「類人類」,亦即更與人類生殖系可變序列相似的抗體。一類人類化抗體為CDR移植抗體,其中人類CDR序列經引入非人類VH及VL序列中以置換相應非人類CDR序列。「人類化抗體」亦為抗體或其變異體、衍生物、類似物或片段,其免疫特異性地結合於相關抗原且其包含實質上具有人類抗體之胺基酸序列之構架(FR)區及實質上具有非人類抗體之胺基酸序列之互補決定區(CDR)。如本文中所用之CDR情形中之術語「實質上」係指胺基酸序列與非人類抗體CDR之胺基酸序列至少80%、至少85%、至少90%、至少95%、至少98%或至少99%一致的CDR。人類化抗體包含實質上所有至少一個且通常兩個可變域 (Fab、Fab'、F(ab')2、FabC、Fv),其中所有或實質上所有CDR區對應於非人類免疫球蛋白(亦即供體抗體)之彼等CDR區且所有或實質上所有構架區為人類免疫球蛋白共同序列之彼等構架區。在一實施例中,人類化抗體亦包含免疫球蛋白恆定區(Fc)、通常人類免疫球蛋白之彼恆定區的至少一部分。在一些實施例中,人類化抗體含有輕鏈以及至少重鏈之可變域。抗體亦可包括重鏈之CH1、鉸鏈、CH2、CH3及CH4區。在一些實施例中,人類化抗體僅含有人類化輕鏈。在一些實施例中,人類化抗體僅含有人類化重鏈。在特定實施例中,人類化抗體僅含有輕鏈及/或人類化重鏈之人類化可變域。 The term "humanized antibody" refers to sequences comprising variable regions of heavy and light chains from non-human species (e.g., mice) but in which at least a portion of the VH and / or VL sequences have been changed to more "human-like", also That is, antibodies more similar to human germline variable sequences. One class of humanized antibodies are CDR-grafted antibodies, in which human CDR sequences are introduced into non-human VH and VL sequences to replace the corresponding non-human CDR sequences. "Humanized antibodies" are also antibodies or variants, derivatives, analogs or fragments thereof that immunospecifically bind to relevant antigens and that contain a framework (FR) region that essentially has the amino acid sequence of a human antibody and The complementarity determining region (CDR) of an amino acid sequence that is substantially non-human antibodies. The term "substantially" in the context of a CDR as used herein refers to an amino acid sequence that is at least 80%, at least 85%, at least 90%, at least 95%, at least 98%, or at least 80%, at least 85%, at least 90%, at least 95%, at least 98%, or At least 99% consistent CDRs. Humanized antibodies comprise essentially all at least one and usually two variable domains (Fab, Fab ', F (ab') 2 , FaBC, Fv), where all or substantially all CDR regions correspond to non-human immunoglobulins ( (I.e., donor antibodies) and all or substantially all of their framework regions are their framework regions common to human immunoglobulin sequences. In one embodiment, the humanized antibody also comprises at least a portion of an immunoglobulin constant region (Fc), usually a constant region of human immunoglobulin. In some embodiments, a humanized antibody contains a light domain and at least a variable domain of a heavy chain. The antibody may also include the CH1, hinge, CH2, CH3, and CH4 regions of the heavy chain. In some embodiments, a humanized antibody contains only a humanized light chain. In some embodiments, a humanized antibody contains only a humanized heavy chain. In particular embodiments, the humanized antibody contains only humanized variable domains of the light chain and / or the humanized heavy chain.

人類化抗體可選自任何種類之免疫球蛋白,包括IgM、IgG、IgD、IgA及IgE;及任何同型,包括(但不限於)IgG1、IgG2、IgG3及IgG4。人類化抗體可包含來自一種以上種類或同型之序列,且特定恆定域可經選擇以使用此項技術中所熟知之技術使所要效應功能最佳化。 Humanized antibodies can be selected from any kind of immunoglobulin, including IgM, IgG, IgD, IgA, and IgE; and any isotype, including (but not limited to) IgG1, IgG2, IgG3, and IgG4. Humanized antibodies can include sequences from more than one species or isotype, and specific constant domains can be selected to optimize the desired effector function using techniques well known in the art.

人類化抗體之構架區及CDR區無需與親本序列精確對應,例如可藉由至少一個胺基酸殘基之取代、插入及/或缺失對供體抗體CDR或共同構架進行誘變處理,使得彼位點處之CDR或構架殘基不對應於供體抗體或共同構架。然而,在一例示性實施例中,該等突變並不廣泛。通常,至少80%、較佳至少85%、更佳至少90%且最佳至少95%之人類化抗體殘基將對應於親本FR及CDR序列之彼等殘基。如本文所用之術語「共同構架」係指共同免疫球蛋白序列中之構架區。如本文所用之術語「共同免疫球蛋白序列」係指由相關免疫球蛋白序列家族中最頻繁出現之胺基酸(或核苷酸)所形成之序列(參見例如Winnaker,From Genes to Clones(Verlagsgesellschaft,Weinheim,Germany 1987))。在免疫球蛋白家族中,共同序列中之各位置係由在家族中之彼位置處最頻繁出現之胺基酸佔據。若兩個胺基酸出現頻率 相同,則任一者可包括於共同序列中。 The framework and CDR regions of a humanized antibody need not correspond exactly to the parent sequence. For example, the donor antibody CDR or common framework can be subjected to mutagenesis by substitution, insertion and / or deletion of at least one amino acid residue, such that The CDR or framework residues at that site do not correspond to a donor antibody or a common framework. However, in an exemplary embodiment, the mutations are not extensive. Generally, at least 80%, preferably at least 85%, more preferably at least 90%, and most preferably at least 95% of the humanized antibody residues will correspond to those of the parental FR and CDR sequences. The term "common framework" as used herein refers to a framework region in a common immunoglobulin sequence. As used herein, the term `` co-immunoglobulin sequence '' refers to a sequence formed by amino acids (or nucleotides) that occur most frequently in related immunoglobulin sequence families (see, for example, Winnaker, From Genes to Clones (Verlagsgesellschaft) , Weinheim, Germany 1987)). In the immunoglobulin family, each position in the common sequence is occupied by the amino acid that occurs most frequently at another position in the family. If two amino acids occur The same, any one can be included in the common sequence.

關於構築DVD-Ig或其他結合蛋白分子,使用「連接子」來表示單一胺基酸或包含由肽鍵連接之兩個或兩個以上胺基酸殘基的多肽(「連接子多肽」)且將其用於連接一或多個抗原結合部分。該等連接子多肽為此項技術中所熟知(參見例如Holliger等人,Proc.Natl.Acad.Sci.USA,90:6444-6448(1993);Poljak,R.J.,Structure,2:1121-1123(1994))。例示性連接子包括(但不限於)GGGGSG(SEQ ID NO:26)、GGSGG(SEQ ID NO:27)、GGGGSGGGGS(SEQ ID NO:28)、GGSGGGGSG(SEQ ID NO:223)、GGSGGGGSGS(SEQ ID NO:29)、GGSGGGGSGGGGS(SEQ ID NO:30)、GGGGSGGGGSGGGG(SEQ ID NO:31)、GGGGSGGGGSGGGGS(SEQ ID NO:32)、ASTKGP(SEQ ID NO:33)、ASTKGPSVFPLAP(SEQ ID NO:34)、TVAAP(SEQ ID NO:35)、RTVAAP(SEQ ID NO:224)、TVAAPSVFIFPP(SEQ ID NO:36)、RTVAAPSVFIFPP(SEQ ID NO:225)、AKTTPKLEEGEFSEAR(SEQ ID NO:37)、AKTTPKLEEGEFSEARV(SEQ ID NO:38)、AKTTPKLGG(SEQ ID NO:39)、SAKTTPKLGG(SEQ ID NO:40)、SAKTTP(SEQ ID NO:41)、RADAAP(SEQ ID NO:42)、RADAAPTVS(SEQ ID NO:43)、RADAAAAGGPGS(SEQ ID NO:44)、RADAAAAGGGGSGGGGSGGGGSGGGGS(SEQ ID NO:45)、SAKTTPKLEEGEFSEARV(SEQ ID NO:46)、ADAAP(SEQ ID NO:47)、ADAAPTVSIFPP(SEQ ID NO:48)、QPKAAP(SEQ ID NO:49)、QPKAAPSVTLFPP(SEQ ID NO:50)、AKTTPP(SEQ ID NO:51)、AKTTPPSVTPLAP(SEQ ID NO:52)、AKTTAP(SEQ ID NO:53)、AKTTAPSVYPLAP(SEQ ID NO:54)、GENKVEYAPALMALS(SEQ ID NO:55)、GPAKELTPLKEAKVS(SEQ ID NO:56)及GHEAAAVMQVQYPAS(SEQ ID NO:57)。 With regard to the construction of DVD-Ig or other binding protein molecules, a "linker" is used to indicate a single amino acid or a polypeptide containing two or more amino acid residues linked by a peptide bond ("linker polypeptide") and It is used to attach one or more antigen-binding moieties. Such linker polypeptides are well known in the art (see, for example, Holliger et al., Proc. Natl. Acad. Sci. USA , 90: 6444-6448 (1993); Poljak, RJ, Structure , 2: 1121-1123 ( 1994)). Exemplary linkers include, but are not limited to, GGGGSG (SEQ ID NO: 26), GGSGG (SEQ ID NO: 27), GGGGSGGGGS (SEQ ID NO: 28), GGSGGGGSG (SEQ ID NO: 223), GGSGGGGSGS (SEQ ID NO: 29), GGGGGGGSGGGGS (SEQ ID NO: 30), GGGGSGGGGSGGGG (SEQ ID NO: 31), GGGGSGGGGSGGGGS (SEQ ID NO: 32), ASTKGP (SEQ ID NO: 33), ASTKGPSVFPLAP (SEQ ID NO: 34), TVAAP (SEQ ID NO: 35), RTVAAP (SEQ ID NO: 224), TVAAPSVFIFPP (SEQ ID NO: 36), RTVAAPSVFIFPP (SEQ ID NO: 225), AKTTPKLEEGEFSEAR (SEQ ID NO: 37), AKTTPKLEEGEFSEARV (SEQ ID NO : 38), AKTTPKLGG (SEQ ID NO: 39), SAKTTPKLGG (SEQ ID NO: 40), SAKTTP (SEQ ID NO: 41), RADAAP (SEQ ID NO: 42), RADAAPTVS (SEQ ID NO: 43), RADAAAAGGPGS (SEQ ID NO: 44), RADAAAAGGGGSGGGGSGGGGSGGGGS (SEQ ID NO: 45), SAKTTPKLEEGEFSEARV (SEQ ID NO: 46), ADAAP (SEQ ID NO: 47), ADAAPTVSIFPP (SEQ ID NO: 48), QPKAAP (SEQ ID NO: 49), QPKAAPSVTLFPP (SEQ ID NO: 50), AKTTPP (SEQ ID NO: 51), AKTTPPSVTPLAP (SEQ ID NO: 52), AKTTAP (SEQ ID NO: 53), AKTTAPSVYPLAP (SEQ ID NO: 54), GENKVEYAPA LMALS (SEQ ID NO: 55), GPAKELTPLKEAKVS (SEQ ID NO: 56), and GHEAAAVMQVQYPAS (SEQ ID NO: 57).

如本文所用之「維尼爾」區係指可調整CDR結構且微調與抗原之配合的構架殘基子集,如Foote及Winter,J.Mol.Biol.,224:487-499(1992)(其以引用的方式併入本文中)所述。維尼爾區殘基形成CDR下方之層且會對CDR結構及抗體親和力產生影響。 As used herein, the "Veneer" region refers to a subset of framework residues that can adjust the structure of CDRs and fine-tune the coordination with antigens, such as Foote and Winter, J. Mol. Biol. , 224: 487-499 (1992) (which (Incorporated herein by reference). The residues of the Venier region form a layer below the CDR and have an effect on the CDR structure and antibody affinity.

如本文所用之術語「中和」係指當結合蛋白特異性結合抗原(例如細胞激素IL-1β)時抵消該抗原之生物活性。本文所述之中和結合蛋白較佳結合hIL-1β,導致抑制hIL-1β之生物活性。中和結合蛋白較佳結合hIL-1β且使hIL-1β之生物活性降低至少約20%、40%、60%、80%、85%或85%以上。中和結合蛋白對hIL-1β生物活性之抑制可藉由量測此項技術中所熟知的hIL-1β生物活性之一或多個指標來評估。例如在HS27細胞中IL-1β誘導對人類IL-6分泌之抑制作用。 The term "neutralizing" as used herein refers to the elimination of a biological activity of a binding protein when the binding protein specifically binds an antigen (eg, the cytokine IL-1β). The neutralizing binding proteins described herein preferably bind hIL-1β, resulting in inhibition of the biological activity of hIL-1β. The neutralizing binding protein preferably binds hIL-1β and reduces the biological activity of hIL-1β by at least about 20%, 40%, 60%, 80%, 85%, or 85% or more. The inhibition of hIL-1β biological activity by the neutralizing binding protein can be assessed by measuring one or more indicators of hIL-1β biological activity well known in the art. For example, in HS27 cells, IL-1β induces inhibition of human IL-6 secretion.

術語「活性」包括抗體對抗原之諸如結合特異性/親和力之活性,例如,結合IL-1β抗原之抗h IL-1β抗體及/或抗體之中和效能,例如抗IL-1β抗體與h IL-1β結合抑制h IL-1β之生物活性,例如在HS27細胞中IL-1β誘導對人類IL-6分泌之抑制作用。 The term "activity" includes the activity of an antibody, such as binding specificity / affinity, to an antigen, for example, an anti-h IL-1β antibody that binds to the IL-1β antigen and / or antibody neutralizing potency, such as an anti-IL-1β antibody and h IL -1β binding inhibits the biological activity of h IL-1β, such as the inhibition of IL-1β induction on human IL-6 secretion in HS27 cells.

術語「抗原決定基」包括能夠特異性結合免疫球蛋白或T細胞受體之任何多肽決定子。在某些實施例中,抗原決定基決定子包括諸如胺基酸、糖側鏈、磷醯基或磺醯基之分子之化學活性表面基團,且在某些實施例中可具有特定三維結構特徵及/或特定電荷特徵。抗原決定基為抗原中由抗體結合之區域。在某些實施例中,當抗體在蛋白質及/或巨分子之複雜混合物中優先識別其標靶抗原時,稱其特異性結合該抗原。若抗體交叉競爭(一者阻止另一者之結合或調節效應),則稱抗體「結合同一抗原決定基」。另外,抗原決定基之結構定義(重疊、類似、相同)具資訊性,但因為功能定義涵蓋結構(結合)及功能(調節、競爭)參數,所以其通常更具相關性。 The term "antigenic determinant" includes any polypeptide determinant capable of specifically binding an immunoglobulin or T cell receptor. In some embodiments, the epitope determinant includes a chemically active surface group of a molecule such as an amino acid, a sugar side chain, a phosphonium group, or a sulfonyl group, and may have a specific three-dimensional structure in some embodiments Characteristics and / or specific charge characteristics. An epitope is a region of an antigen that is bound by an antibody. In certain embodiments, when an antibody preferentially recognizes its target antigen in a complex mixture of proteins and / or macromolecules, it is said to specifically bind the antigen. If antibodies cross-compete (one prevents the binding or regulatory effect of the other), then the antibody is said to "bind to the same epitope." In addition, the structural definitions (overlapping, similar, and identical) of epitopes are informative, but because functional definitions cover structural (binding) and functional (regulatory, competitive) parameters, they are usually more relevant.

如本文所用之術語「表面電漿子共振」係指藉由使用例如 BIAcore系統(Pharmacia Biosensor AB,Uppsala,Sweden及Piscataway,New Jersey)偵測生物感測器基質內蛋白質濃度之變化來分析即時生物特異性相互作用的光學現象。關於進一步描述,參見Jönsson等人,Ann.Biol.Clin.,51:19-26(1993);Jönsson等人,BioTechniques,11:620-627(1991);Johnsson等人,J.Mol.Recognit.,8:125-131(1995);及Johnsson等人,Anal.Biochem.,198:268-277(1991)。 As used herein, the term `` surface plasmon resonance '' refers to the analysis of live organisms by detecting changes in the concentration of proteins in the biosensor matrix using, for example, the BIAcore system (Pharmacia Biosensor AB, Uppsala, Sweden and Piscataway, New Jersey). Optical phenomenon of specific interactions. For further description, see Jönsson et al., Ann. Biol. Clin. , 51: 19-26 (1993); Jönsson et al., BioTechniques , 11: 620-627 (1991); Johnson et al., J. Mol. Recognit. 8: 125-131 (1995); and Johnsons et al., Anal. Biochem. , 198: 268-277 (1991).

如本文所用之術語「Kon」(亦為「Kon」、「kon」)意指如在此項技術中已知之結合蛋白(例如抗體)與抗原締合以形成締合複合物(例如抗體/抗原複合物)之締合速率常數。「Kon」亦稱為術語「締合速率常數」或「ka」,其在本文中可互換使用。此值指示抗體與其標靶抗原之締合速率或抗體與抗原之間之複合物形成速率,如由以下方程式所示:抗體(「Ab」)+抗原(「Ag」)→Ab-Ag。 The term "K on " (also "Kon", "kon") as used herein means that a binding protein (e.g., an antibody) as known in the art is associated with an antigen to form an association complex (e.g., an antibody / Antigen complex). "K on " is also known as the term "association rate constant" or "ka", which is used interchangeably herein. This value indicates the rate of association of the antibody with its target antigen or the rate of complex formation between the antibody and the antigen, as shown by the following equation: antibody ("Ab") + antigen ("Ag") → Ab-Ag.

如本文所用之術語「Koff」(亦為「Koff」、「koff」)意指如在此項技術中已知之結合蛋白(例如抗體)自締合複合物(例如抗體/抗原複合物)解離之解離速率常數,或「解離速率常數」。此值指示抗體自其標靶抗原解離或Ab-Ag複合物隨著時間流逝而分離為游離抗體及抗原之解離速率,如由以下方程式所示:Ab+Ag←Ab-Ag。 The term "K off " (also "Koff", "koff") as used herein means the dissociation of a binding protein (e.g., an antibody) from an association complex (e.g., an antibody / antigen complex) as known in the art Dissociation rate constant, or "dissociation rate constant". This value indicates the dissociation rate of an antibody from its target antigen or the Ab-Ag complex as time passes, as shown by the following equation: Ab + Ag ← Ab-Ag.

如本文所用之術語「KD」(亦為「Kd」)意指「平衡解離常數」,且係指在滴定量測中在平衡狀態下獲得之值,或藉由將解離速率常數(Koff)除以締合速率常數(Kon)獲得之值。締合速率常數(Kon)、解離速率常數(Koff)及平衡解離常數(KD)用以代表抗體對抗原之結合親和力。測定締合及解離速率常數之方法為此項技術中所熟知。使用基於螢光之技術提供高靈敏度及檢查在生理緩衝液中處在平衡狀態下之樣本之能力。可使用其他實驗性方法及儀器,諸如BIAcore®(生物分子 相互作用分析)檢定(例如可獲自BIAcore International AB,GE Healthcare公司(Uppsala,Sweden)之儀器)。另外,亦可使用KinExA®(動態排除檢定(Kinetic Exclusion Assay))檢定,其可獲自Sapidyne Instruments(Boise,Idaho)。 The term “K D ” (also “K d ”) as used herein means “equilibrium dissociation constant” and refers to a value obtained in an equilibrium state in titration measurement, or by changing the dissociation rate constant (Koff ) Divided by the association rate constant (Kon). The association rate constant (Kon), dissociation rate constant (Koff), and equilibrium dissociation constant (K D ) are used to represent the binding affinity of an antibody for an antigen. Methods for determining association and dissociation rate constants are well known in the art. Uses fluorescence-based technology to provide high sensitivity and the ability to check samples in equilibrium in physiological buffers. Other experimental methods and instruments may be used, such as BIAcore® (Biomolecular Interaction Analysis) assays (eg, instruments available from BIAcore International AB, GE Healthcare, Uppsala, Sweden). Alternatively, a KinExA® (Kinetic Exclusion Assay) assay can be used, which is available from Sapidyne Instruments (Boise, Idaho).

術語「標記」及「可偵測標記」意謂連接至特異結合搭配物(諸如抗體或分析物)例如以使得特異結合對之成員(諸如抗體及分析物)之間之反應為可偵測的部分。如此標記之特異結合搭配物(例如抗體或分析物)稱為「經可偵測標記」。因此,如本文所用之術語「經標記之結合蛋白」係指具有所併入之提供結合蛋白之鑑別之標記的蛋白質。在一實施例中,標記為可產生可藉由目視或儀器方式偵測之信號之可偵測標記物,例如併入經放射性標記之胺基酸或將可藉由經標記之抗生物素蛋白或抗生蛋白鏈菌素(例如含有可藉由光學或比色方法偵測之螢光標記物或酶促活性的抗生蛋白鏈菌素)偵測之生物素基部分連接至多肽。多肽之標記之實例包括(但不限於)以下:放射性同位素或放射性核素(例如3H、14C、35S、90Y、99Tc、111In、125I、131I、177Lu、166Ho或153Sm);色素原;螢光標記(例如FITC、若丹明(rhodamine)、鑭系元素磷光體);酶標記(例如辣根過氧化酶、螢光素酶、鹼性磷酸酶);化學發光標記物;生物素基;由二級報導體識別之預定多肽抗原決定基(例如白胺酸拉鏈對序列、二級抗體之結合位點、金屬結合域、抗原決定基標籤);及磁性劑(例如釓螯合物)。通常用於免疫檢定之標記之代表性實例包括產生光之部分(例如吖錠化合物)及產生螢光之部分(例如螢光素)。本文中描述其他標記。就此而言,部分本身可能不經可偵測標記但在與另一部分反應後可變得可偵測。使用術語「經可偵測標記」意欲涵蓋後一類型之可偵測標記。 The terms "label" and "detectable label" mean attached to a specific binding partner (such as an antibody or an analyte), for example to make the reaction between members of a specific binding pair (such as an antibody and an analyte) detectable section. A specific binding partner (such as an antibody or analyte) so labeled is referred to as a "detectably labeled". Accordingly, the term "labeled binding protein" as used herein refers to a protein having a marker incorporated that provides identification of the binding protein. In one embodiment, the labeling is a detectable label that can generate a signal that can be detected visually or instrumentally, such as incorporating a radiolabeled amino acid or using a labeled avidin Or a biotin-based moiety detected by streptavidin (such as a streptavidin containing a fluorescent label or an enzymatically active detectable by optical or colorimetric methods) is attached to the polypeptide. Examples of polypeptide labeling include (but are not limited to) the following: radioisotopes or radionuclides (e.g. 3 H, 14 C, 35 S, 90 Y, 99 Tc, 111 In, 125 I, 131 I, 177 Lu, 166 Ho Or 153 Sm); prochromin; fluorescent labels (such as FITC, rhodamine, lanthanide phosphors); enzyme labels (such as horseradish peroxidase, luciferase, alkaline phosphatase); Chemiluminescent labels; biotin-based; predetermined polypeptide epitopes recognized by secondary reporters (such as leucine zipper pair sequences, secondary antibody binding sites, metal binding domains, epitope tags); and magnetic Agents (such as europium chelates). Representative examples of labels commonly used in immunoassays include a light-generating moiety (e.g., an azadine compound) and a fluorescent-generating moiety (e.g., luciferin). Other tags are described in this article. In this regard, the part itself may not be detectably labeled but may become detectable after reacting with another part. The use of the term "detectable mark" is intended to cover the latter type of detectable mark.

術語「IL-1β結合蛋白結合物」係指本文所述之IL-1β結合蛋白化學連接至第二化學部分,諸如治療劑或細胞毒性劑。術語「劑」在本 文中用於表示化合物、化合物之混合物、生物巨分子或由生物材料製成之提取物。治療劑或細胞毒性劑較佳包括(但不限於)百日咳毒素(pertussis toxin)、紫杉醇(taxol)、細胞遲緩素B(cytochalasin B)、短桿菌肽D(gramicidin D)、溴化乙錠(ethidium bromide)、吐根素(emetine)、絲裂黴素(mitomycin)、依託泊苷(etoposide)、特諾波賽(tenoposide)、長春新鹼(vincristine)、長春鹼(vinblastine)、秋水仙鹼(colchicine)、小紅莓(doxorubicin)、道諾黴素(daunorubicin)、二羥基炭疽菌素二酮(dihydroxy anthracin dione)、米托蒽醌(mitoxantrone)、光神黴素(mithramycin)、放線菌素D(actinomycin D)、1-去氫睪固酮(1-dihydrotestosterone)、糖皮質激素、普魯卡因(procaine)、四卡因(tetracaine)、利多卡因(lidocaine)、普萘洛爾(propranolol)及嘌呤黴素(puromycin)及其類似物或同源物。當用於免疫檢定之情形中時,IL-1β結合蛋白結合物可為用作偵測抗體之經可偵測標記之抗體。 The term "IL-1β binding protein conjugate" refers to an IL-1β binding protein described herein that is chemically linked to a second chemical moiety, such as a therapeutic or cytotoxic agent. The term "agent" is used in this context This text is used to indicate compounds, mixtures of compounds, biological macromolecules or extracts made from biological materials. Therapeutic or cytotoxic agents preferably include, but are not limited to, pertussis toxin, taxol, cytochalasin B, gramicidin D, ethidium bromide bromide), emetine, mitomycin, etoposide, tenoposide, vincristine, vinblastine, colchicine ( colchicine, cranberry (doxorubicin), daunorubicin, dihydroxy anthracin dione, mitoxantrone, mithramycin, actinomycin D (actinomycin D), 1-dihydrotestosterone, glucocorticoids, procaine, tetracaine, lidocaine, propranolol And puromycin and its analogs or homologs. When used in the context of an immunoassay, the IL-1β binding protein conjugate can be a detectably labeled antibody used as a detection antibody.

如本文所用之術語「晶體」及「結晶化」係指以晶體形式存在之結合蛋白(例如抗體)或其抗原結合部分。晶體為固態物質之一種形式,其不同於諸如非晶形固態或液晶態之其他形式。晶體由原子、離子、分子(例如蛋白質,諸如抗體)或分子組裝體(例如抗原/抗體複合物)之規則、重複、三維陣列組成。此等三維陣列係根據在此領域中充分瞭解之特定數學關係來排列。在晶體中重複之基本單元或構建組塊稱為不對稱單元。不對稱單元以符合既定、經明確定義之晶體學對稱的排列方式重複將提供晶體之「單位晶胞」。單位晶胞藉由在所有三維中規則變換(regular translation)而重複將提供晶體。參見Giegé等人,第1章,Crystallization of Nucleic Acids and Proteins,a Practical Approach,第2版,(Ducruix及Giegé編)(Oxford University Press,New York,1999)第1-16頁。 The terms "crystal" and "crystallized" as used herein refer to a binding protein (e.g., an antibody) or an antigen-binding portion thereof in the form of a crystal. A crystal is a form of solid matter that is different from other forms such as an amorphous solid state or a liquid crystal state. Crystals consist of a regular, repeating, three-dimensional array of atoms, ions, molecules (e.g., proteins such as antibodies) or molecular assemblies (e.g., antigen / antibody complexes). These three-dimensional arrays are arranged according to specific mathematical relationships that are well understood in the art. Basic units or building blocks that repeat in a crystal are called asymmetric units. Asymmetric units repeated in an arrangement that conforms to the established, well-defined crystallographic symmetry will provide the "unit cell" of the crystal. A unit cell will provide a crystal by repeating regular translation in all three dimensions. See Giegé et al., Chapter 1, Crystallization of Nucleic Acids and Proteins, a Practical Approach, 2nd Edition , (ed. Ducruix and Giegé) (Oxford University Press, New York, 1999) pages 1-16.

術語「聚核苷酸」意謂兩個或兩個以上核苷酸(核糖核苷酸或去 氧核苷酸或任一類型之核苷酸的經修飾形式)之多聚體形式。該術語包括單股及雙股形式之DNA。 The term "polynucleotide" means two or more nucleotides (ribonucleotides or A multimeric form of an oxynucleotide or a modified form of any type of nucleotide). The term includes single- and double-stranded DNA.

術語「經分離之聚核苷酸」意謂一種聚核苷酸(例如源於基因組、cDNA或合成來源,或其某種組合),根據其來源,「經分離之聚核苷酸」:與在自然界中與「經分離之聚核苷酸」一起發現的聚核苷酸之全部或一部分不相關;與在自然界中不與之連接的聚核苷酸可操作地連接;或不作為較大序列之一部分存在於自然界中。 The term "isolated polynucleotide" means a polynucleotide (e.g., derived from a genomic, cDNA, or synthetic source, or some combination thereof), according to which source "isolated polynucleotide": and All or part of a polynucleotide found in nature with an "isolated polynucleotide" is not related; operably linked to a polynucleotide that is not linked to it in nature; or not as a larger sequence Part of it exists in nature.

如本文所用之術語「載體」意指能夠轉運已與其連接之另一核酸的核酸分子。一類載體為「質體」,其係指可接合其他DNA區段之環狀雙股DNA環。另一類型之載體為病毒載體,其中其他DNA區段可接合於病毒基因組中。某些載體能夠在引入其之宿主細胞中自主複製(例如具有細菌複製起點之細菌載體及游離型哺乳動物載體)。其他載體(例如非游離型哺乳動物載體)在引入宿主細胞中之後即可整合於宿主細胞之基因組中,且藉此與宿主基因組一起被複製。此外,某些載體能夠引導其可操作地連接之基因的表現。該等載體在本文中稱為「重組表現載體」(或簡稱「表現載體」)。一般而言,應用於重組DNA技術中之表現載體通常呈質體形式。在本說明書中,因為質體為載體之最常用形式,所以「質體」及「載體」可互換使用。然而,本發明意欲包括該等提供等效功能之其他形式的表現載體,諸如病毒載體(例如複製缺陷反轉錄病毒、腺病毒及腺相關病毒)。 The term "vector" as used herein means a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked. One type of vector is a "plasmid", which refers to a circular double-stranded DNA loop that can join other DNA segments. Another type of vector is a viral vector, where other DNA segments can be joined in the viral genome. Certain vectors are capable of autonomous replication in the host cell into which they are introduced (eg, bacterial vectors with bacterial origins of replication and episomal mammalian vectors). Other vectors (such as non-episomal mammalian vectors) can be integrated into the host cell's genome after introduction into the host cell, and thereby be replicated together with the host genome. In addition, certain vectors are capable of directing the expression of genes to which they are operatively linked. These vectors are referred to herein as "recombinant expression vectors" (or simply "expression vectors"). In general, expression vectors used in recombinant DNA technology are usually in the form of plastids. In this specification, because plastids are the most common form of carrier, "plasmid" and "carrier" are used interchangeably. However, the invention is intended to include such other forms of expression vectors, such as viral vectors (e.g., replication defective retroviruses, adenoviruses and adeno-associated viruses), which provide equivalent functionality.

術語「可操作地連接」係指所述組分處於允許其以其預定方式起作用之關係中的併接。「可操作地連接」至編碼序列之控制序列以使得在與控制序列相容之條件下達成編碼序列之表現的方式接合。「可操作地連接」之序列包括與相關基因鄰接之表現控制序列與在對側或隔開一定距離起作用以控制相關基因的表現控制序列。如本文所用之術語「表現控制序列」係指為實現其所接合之編碼序列之表現及處理 所必需之聚核苷酸序列。表現控制序列包括適當轉錄起始序列、終止序列、啟動子序列及強化子序列;有效RNA處理信號,諸如拼接信號及聚腺苷酸化信號;使細胞質mRNA穩定之序列;增強轉譯效率之序列(亦即Kozak共同序列);增強蛋白質穩定性之序列;及當需要時增強蛋白質分泌之序列。該等控制序列之性質視宿主有機體而不同;在原核生物中,該等控制序列一般包括啟動子、核糖體結合位點及轉錄終止序列;在真核生物中,該等控制序列一般包括啟動子及轉錄終止序列。術語「控制序列」意欲包括其存在對表現及處理必不可少的組分;且亦可包括其存在為有利的其他組分,例如前導序列及融合搭配物序列。 The term "operably linked" refers to the juxtaposition of the components in a relationship that allows them to function in their intended manner. The control sequences "operably linked" to the coding sequence are joined in a manner such that the performance of the coding sequence is achieved under conditions compatible with the control sequence. An "operably linked" sequence includes a performance control sequence adjacent to a related gene and a performance control sequence that acts on the opposite side or at a distance to control the related gene. The term "performance control sequence" as used herein refers to the performance and processing of the coding sequences to which it is joined. The necessary polynucleotide sequence. Performance control sequences include appropriate transcription initiation sequences, termination sequences, promoter sequences and enhancer sequences; effective RNA processing signals, such as splicing signals and polyadenylation signals; sequences that stabilize cytoplasmic mRNA; sequences that enhance translation efficiency (also (Kozak common sequence); sequences that enhance protein stability; and sequences that enhance protein secretion when needed. The nature of these control sequences varies depending on the host organism; in prokaryotes, these control sequences generally include promoters, ribosome binding sites, and transcription termination sequences; in eukaryotes, these control sequences generally include promoters And transcription termination sequences. The term "control sequence" is intended to include components whose presence is essential for performance and processing; and may also include other components whose presence is advantageous, such as leader sequences and fusion partner sequences.

如本文所定義之「轉型」係指外源DNA進入宿主細胞之任何過程。轉型可使用此項技術中所熟知之各種方法在天然或人工條件下進行。轉型可依賴於將外來核酸序列插入原核或真核宿主細胞中之任何已知方法。該方法係基於所轉型之宿主細胞來選擇且可包括(但不限於)病毒感染、電穿孔、脂質體轉染及粒子轟擊。該等「經轉型」細胞包括所插入之DNA能夠以自主複製質體形式或作為宿主染色體之一部分而複製的經穩定轉型細胞。其亦包括短暫表現所插入之DNA或RNA持續有限時段的細胞。 "Transformation" as defined herein refers to any process by which foreign DNA enters a host cell. Transformation can be performed under natural or artificial conditions using a variety of methods well known in the art. Transformation can rely on any known method of inserting foreign nucleic acid sequences into a prokaryotic or eukaryotic host cell. The method is selected based on the transformed host cells and may include, but is not limited to, viral infection, electroporation, liposome transfection, and particle bombardment. Such "transformed" cells include stably transformed cells whose inserted DNA is capable of replicating in the form of autonomously replicating plastids or as part of the host chromosome. It also includes cells that transiently express the inserted DNA or RNA for a limited period of time.

術語「重組宿主細胞」(或簡稱「宿主細胞」)意指已引入有外源DNA之細胞。在一實施例中,宿主細胞包含兩個或兩個以上(例如多個)編碼抗體之核酸,諸如美國專利第7,262,028號中所述之宿主細胞。該等術語意欲不僅指特定個體細胞,而且指此類細胞之子代。因為某些修飾可能由於突變或環境影響而於繼代中存在,所以該子代實際上可能不與母細胞相同,但仍包括於如本文所用之術語「宿主細胞」之範疇內。在一實施例中,宿主細胞包括選自生物界中之任一者的原核及真核細胞。在另一實施例中,真核細胞包括原生生物、真 菌、植物及動物細胞。在另一實施例中,宿主細胞包括(但不限於)原核細胞株大腸桿菌;哺乳動物細胞株CHO、HEK 293、COS、NS0、SP2及PER.C6;昆蟲細胞株Sf9;及真菌細胞釀酒酵母。 The term "recombinant host cell" (or simply "host cell") means a cell into which foreign DNA has been introduced. In one embodiment, the host cell comprises two or more (e.g., multiple) nucleic acids encoding antibodies, such as the host cells described in US Patent No. 7,262,028. These terms are intended to refer not only to specific individual cells, but also to the progeny of such cells. Because certain modifications may be present in the progeny due to mutations or environmental effects, the progeny may not actually be the same as the parent cell, but are still included within the scope of the term "host cell" as used herein. In one embodiment, the host cells include prokaryotic and eukaryotic cells selected from any of the biological world. In another embodiment, the eukaryotic cells include protozoa, eukaryotes, Bacteria, plant and animal cells. In another embodiment, the host cell includes (but is not limited to) a prokaryotic cell line E. coli; a mammalian cell line CHO, HEK 293, COS, NSO, SP2, and PER.C6; an insect cell line Sf9; and a fungal cell Saccharomyces cerevisiae .

標準技術可用於重組DNA、寡核苷酸合成及組織培養與轉型(例如電穿孔、脂質體轉染)。酶促反應及純化技術可根據製造商之指示或如此項技術中通常實現或如本文所述來進行。以上技術及程序一般可根據此項技術中所熟知且如本說明書通篇引用且討論之各種一般及更特定參考文獻中所述之習知方法來進行。參見例如Sambrook等人,Molecular Cloning:A Laboratory Manual,第2版(Cold Spring Harbor Laboratory Press,Cold Spring Harbor,N.Y.,1989)。 Standard techniques can be used for recombinant DNA, oligonucleotide synthesis, and tissue culture and transformation (eg, electroporation, liposome transfection). Enzymatic reactions and purification techniques can be performed according to the manufacturer's instructions or as commonly accomplished in such techniques or as described herein. The above techniques and procedures can generally be performed according to conventional methods well known in the art and described in various general and more specific references that are cited and discussed throughout this specification. See, eg, Sambrook et al., Molecular Cloning: A Laboratory Manual , 2nd Edition (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY, 1989).

如此項技術中所知之「轉殖基因有機體」係指具有含轉殖基因之細胞的有機體,其中引入有機體(或有機體之祖先)中之轉殖基因表現不會於有機體中天然表現之多肽。「轉殖基因」為DNA構築體,其穩定且可操作地整合於可發育成轉殖基因有機體之細胞之基因組中,從而引導所編碼之基因產物在轉殖基因有機體之一或多個細胞類型或組織中表現。 A "transgenic organism" as known in the art refers to an organism having a cell containing a transgene, in which a transgenic gene introduced into an organism (or an ancestor of the organism) does not behave as a polypeptide that naturally occurs in the organism. A "transgenic gene" is a DNA construct that is stably and operatively integrated into the genome of a cell that can develop into a transgenic organism, thereby directing the encoded gene product in one or more cell types of the transgenic organism Or performance in the organization.

術語「調控」及「調節」可互換使用,且如本文所用,其係指相關分子之活性(例如h IL-1β之生物活性)的改變或變化。調節可為使相關分子之某種活性或功能之量值增大或減小。分子之例示性活性及功能包括(但不限於)結合特性、酶促活性、細胞受體活化及信號轉導。 The terms "modulate" and "modulate" are used interchangeably, and as used herein, refer to a change or change in the activity of a related molecule (eg, the biological activity of h IL-1β). Adjustment can be to increase or decrease the magnitude of a certain activity or function of a related molecule. Exemplary activities and functions of the molecule include, but are not limited to, binding properties, enzymatic activity, cellular receptor activation, and signal transduction.

相應地,如本文所用之術語「調節劑」為能夠使相關分子之活性或功能(例如hIL-1β之生物活性)改變或變化之化合物。舉例而言,與在不存在調節劑之情況下所觀察到的活性或功能之量值相比,調節劑可使分子之某種活性或功能之量值增大或減小。在某些實施例中,調節劑為抑制劑,其使分子之至少一種活性或功能之量值減小。例示性抑制劑包括(但不限於)蛋白質、肽、抗體、肽體(peptibody)、碳水化 合物或小的有機分子。肽體描述於例如PCT公開案第WO 01/83525號中。 Accordingly, the term "modulator" as used herein is a compound capable of altering or changing the activity or function of a related molecule, such as the biological activity of hIL-1β. For example, a modulator can increase or decrease the magnitude of a certain activity or function of a molecule compared to the magnitude of an activity or function observed in the absence of a modulator. In certain embodiments, a modulator is an inhibitor that reduces the magnitude of at least one activity or function of a molecule. Exemplary inhibitors include, but are not limited to, proteins, peptides, antibodies, peptibody, carbohydrate Compounds or small organic molecules. Peptides are described, for example, in PCT Publication No. WO 01/83525.

如本文所用之術語「促效劑」係指當與相關分子接觸時,與不存在促效劑之情況下所觀察到的活性或功能之量值相比,使分子之某種活性或功能之量值增大的調節劑。相關特定促效劑可包括(但不限於)與hIL-1β結合之IL-1β多肽、核酸、碳水化合物或任何其他分子。 As used herein, the term "agonist" means that when contacted with a molecule of interest, the activity or function of a molecule is compared to the amount of activity or function observed in the absence of the agonist. Increased volume regulator. Related specific agonists may include, but are not limited to, an IL-1β polypeptide, nucleic acid, carbohydrate, or any other molecule that binds hIL-1β.

如本文所用之術語「拮抗劑」及「抑制劑」係指當與相關分子接觸時,與不存在拮抗劑之情況下所觀察到的活性或功能之量值相比,使分子之某種活性或功能之量值減小的調節劑。相關特定拮抗劑包括阻斷或調節人類IL-1β之生物或免疫活性之拮抗劑。人類IL-1β之拮抗劑及抑制劑可包括(但不限於)與人類IL-1β結合之蛋白質、核酸、碳水化合物或任何其他分子。 As used herein, the terms "antagonist" and "inhibitor" refer to the activity of a molecule when compared to the amount of activity or function observed in the absence of the antagonist when contacted with the molecule of interest. Or modifiers with reduced magnitude of function. Related specific antagonists include antagonists that block or modulate the biological or immune activity of human IL-1β. Antagonists and inhibitors of human IL-Ι β may include, but are not limited to, proteins, nucleic acids, carbohydrates, or any other molecule that binds human IL-Ι β.

如本文所用之術語「有效量」係指足以降低或改善病症或其一或多種症狀之嚴重程度及/或持續時間;阻止病症進展;促使病症消退;阻止與病症相關之一或多種症狀復發、顯現、發作或進展;偵測病症;或增強或改良另一療法(例如預防劑或治療劑)之預防或治療作用的療法之量。 The term "effective amount" as used herein means sufficient to reduce or improve the severity and / or duration of the condition or one or more symptoms thereof; prevent the progression of the condition; promote the regression of the condition; prevent the recurrence of one or more symptoms associated with the condition, Appearance, onset, or progression; detection of a condition; or the amount of a therapy that enhances or improves the preventive or therapeutic effect of another therapy, such as a prophylactic or therapeutic agent.

「患者」及「個體」在本文中可互換地用以指動物,諸如哺乳動物,包括靈長類動物(例如人類、猴及黑猩猩)、非靈長類動物(例如母牛、豬、駱駝、駱馬、馬、山羊、兔、綿羊、倉鼠、天竺鼠、貓、犬、大鼠、小鼠、鯨)、禽類(例如鴨或鵝)及鯊魚。較佳地,患者或個體為人類,諸如針對疾病、病症或病狀治療或評估的人類、處於罹患疾病、病症或病狀之風險中之人類、患有疾病、病症或病狀之人類及/或針對疾病、病症或病狀治療之人類。 "Patient" and "individual" are used interchangeably herein to refer to animals, such as mammals, including primates (such as humans, monkeys, and chimpanzees), non-primates (such as cows, pigs, camels, Llamas, horses, goats, rabbits, sheep, hamsters, guinea pigs, cats, dogs, rats, mice, whales), birds (such as ducks or geese) and sharks. Preferably, the patient or individual is a human, such as a human being treated or evaluated for a disease, disorder, or condition, a human at risk for the disease, disorder, or condition, a human having the disease, disorder, or condition, and / Or a human being treated for a disease, disorder, or condition.

如本文所用之術語「樣本」以其最廣泛意義使用。如本文所用之「生物樣本」包括(但不限於)任意量之來自活物或原先為活物之物 質。該等活物包括(但不限於)人類、非人類靈長類動物、小鼠、大鼠、猴、犬、兔及其他動物。該等物質包括(但不限於)血液(例如全血)、血漿、血清、尿液、羊水、滑液、內皮細胞、白血球、單核細胞、其他細胞、器官、組織、骨髓、淋巴結及脾臟。 The term "sample" as used herein is used in its broadest sense. As used herein, a `` biological sample '' includes, but is not limited to, any amount of a living thing or something that was originally a living thing quality. Such living things include, but are not limited to, humans, non-human primates, mice, rats, monkeys, dogs, rabbits, and other animals. Such substances include, but are not limited to, blood (eg, whole blood), plasma, serum, urine, amniotic fluid, synovial fluid, endothelial cells, white blood cells, monocytes, other cells, organs, tissues, bone marrow, lymph nodes, and spleen.

「組分」及「至少一種組分」一般係指可包括於用於根據本文所述之方法及此項技術中已知之其他方法檢定試樣(諸如患者尿液、血清或血漿樣本)之套組中的捕捉抗體、偵測或結合抗體、對照物、校正劑(calibrator)、一系列校正劑、靈敏度套件(sensitivity panel)、容器、緩衝劑、稀釋劑、鹽、酶、酶之輔因子、偵測試劑、預處理試劑/溶液、受質(例如呈溶液形式)、終止溶液及其類似物。因此,在本發明之情形中,「至少一種組分」及「組分」可包括如上之多肽或其他分析物,諸如包含分析物(諸如多肽)之組合物,其視情況諸如藉由結合於抗分析物(例如抗多肽)抗體而固定在固體支撐物上。一些組分可處在溶解狀態中或經凍乾以便經復原用於檢定中。 "Components" and "at least one component" generally refer to kits that can be included for testing a sample (such as a patient's urine, serum, or plasma sample) according to the methods described herein and other methods known in the art. Capture antibodies, detection or binding antibodies, controls, calibrators, a series of calibrators, sensitivity panels, containers, buffers, diluents, salts, enzymes, enzyme cofactors, Detection reagents, pretreatment reagents / solutions, substrates (e.g., in solution), termination solutions and the like. Therefore, in the context of the present invention, "at least one component" and "component" may include a polypeptide or other analyte as described above, such as a composition comprising an analyte (such as a polypeptide), as appropriate, such as by binding to Anti-analyte (eg, anti-polypeptide) antibodies are immobilized on a solid support. Some components may be in a dissolved state or lyophilized for reconstitution for testing.

「對照物」係指已知不為分析物(「陰性對照物」)或含有分析物(「陽性對照物」)之組合物。陽性對照物可包含已知濃度之分析物。「對照物」、「陽性對照物」及「校正劑」在本文中可互換地用以指包含已知濃度之分析物之組合物。「陽性對照物」可用於確立檢定效能特徵且為試劑(例如分析物)之完整性的適用指示物。 "Control" refers to a composition that is known not to be an analyte ("negative control") or contains an analyte ("positive control"). The positive control may include a known concentration of the analyte. "Control," "positive control," and "calibrator" are used interchangeably herein to refer to a composition comprising a known concentration of an analyte. A "positive control" can be used to establish assay performance characteristics and is a suitable indicator of the integrity of a reagent (eg, an analyte).

「預定截止值」及「預定程度」一般係指藉由針對預定截止值/程度比較檢定結果而用於評估診斷/預後/治療功效結果的檢定截止值,其中預定截止值/程度已與各種臨床參數(例如疾病之嚴重度、進展/無進展/改善等)相聯繫或相關聯。雖然本揭示案可提供例示性預定程度,但眾所周知,截止值可視免疫檢定之性質(例如,所用之抗體等)而變化。此外,針對其他免疫檢定來修改本文中之本揭示案以基於此揭示案獲得彼等其他免疫檢定之免疫檢定特定截止值完全屬於此 項技術者之一般技能範圍內。儘管預定截止值/程度之確切值可在檢定之間有所不同,但如本文所述之相關關係(若存在)一般應為適用的。 "Predetermined cut-off value" and "predetermined degree" generally refer to the test cut-off value used to evaluate the diagnosis / prognosis / treatment efficacy result by comparing the test results against the predetermined cut-off value / degree. Parameters (such as disease severity, progression / no progression / improvement, etc.) are linked or correlated. Although this disclosure may provide an exemplary degree of presupposition, it is well known that cut-off values may vary depending on the nature of the immunoassay (e.g., antibodies used, etc.). In addition, modifying the disclosure in this article for other immunoassays to obtain specific immunoassay cutoffs for their other immunoassays based on this disclosure is entirely part of this Within the general skills of the technician. Although the exact value of the predetermined cut-off value / degree may vary from test to test, the correlation (if any) as described herein should generally be applicable.

如本文所述之診斷檢定中所用之「預處理試劑」(例如溶解、沈澱及/或增溶試劑)為一種可溶解存在於試樣中之任何細胞及/或使存在於試樣中之任何分析物增溶的試劑。如本文中進一步所述,預處理並非為所有樣本所必需。其中,使分析物(例如相關多肽)增溶可能需要自存在於樣本中之任何內源性結合蛋白釋放分析物。預處理試劑可為均質的(無需分離步驟)或異質的(需要分離步驟)。藉由使用異質預處理試劑,自試樣移除任何沈澱之分析物結合蛋白,然後進行檢定之下一步驟。 A "pretreatment reagent" (e.g., a lysing, precipitating, and / or solubilizing reagent) used in a diagnostic assay as described herein is a cell that can dissolve and / or cause any cell to be present in a sample. Analyte solubilizing reagent. As described further herein, pre-processing is not necessary for all samples. Among them, solubilizing an analyte (eg, a related polypeptide) may require releasing the analyte from any endogenous binding protein present in the sample. The pretreatment reagent may be homogeneous (no separation step required) or heterogeneous (requires a separation step). By using a heterogeneous pretreatment reagent, any precipitated analyte-binding protein is removed from the sample and the next step in the assay is performed.

「品質控制試劑」在本文所述之免疫檢定及套組的情況下包括(但不限於)校正劑、對照物及靈敏度套件。通常使用「校正劑」或「標準物」(例如一或多個,諸如複數個校正劑或標準物)來建立校正(標準)曲線以便內插分析物(諸如抗體或分析物)之濃度。或者,可使用接近預定陽性/陰性截止值之單個校正劑。可聯合使用多個校正劑(亦即,不只1種校正劑或不同量之校正劑),以便構成「靈敏度套件」。 "Quality Control Reagents" in the context of the immunoassays and kits described herein include, but are not limited to, calibrators, controls, and sensitivity kits. A "calibrator" or "standard" (eg, one or more, such as a plurality of calibrators or standards) is typically used to establish a calibration (standard) curve to interpolate the concentration of an analyte, such as an antibody or analyte. Alternatively, a single calibrator close to a predetermined positive / negative cut-off value can be used. Multiple calibrators (ie, more than one calibrator or different amounts of calibrators) can be used in combination to form a "sensitivity kit".

「風險」係指特定事件目前或在將來某個時點發生之可能性或機率。「風險分層」係指使得醫師可將患者歸於患上特定疾病、病症或病狀之低、中、高或最高風險的一系列已知臨床風險因素。 "Risk" means the likelihood or probability that a particular event will occur now or at some point in the future. "Risk stratification" refers to a series of known clinical risk factors that enable a physician to attribute a patient to a low, medium, high, or highest risk of a particular disease, disorder, or condition.

「特異性」在特異性結合對之成員(例如抗原(或其片段)與抗體(或其抗原反應性片段))之間的相互作用之情況下係指該相互作用之選擇反應性。短語「特異性結合」及其類似短語係指抗體(或其抗原反應性片段)特異性結合分析物(或其片段)且不特異性結合其他實體之能力。 "Specificity" in the case of an interaction between members of a specific binding pair, such as an antigen (or a fragment thereof) and an antibody (or an antigen-reactive fragment thereof), refers to the selective reactivity of the interaction. The phrase "specifically binds" and similar phrases refers to the ability of an antibody (or antigen-reactive fragment thereof) to specifically bind to an analyte (or fragment thereof) and not specifically to other entities.

「特異性結合搭配物」為特異性結合對之成員。特異性結合對包含2個不同分子,其經由化學或物理方式彼此特異性結合。因此,除常見免疫檢定之抗原與抗體特異性結合對以外,其他特異性結合對可包括生物素與抗生物素蛋白(或抗生蛋白鏈菌素);碳水化合物與凝集素;互補核苷酸序列;效應分子與受體分子;輔因子與酶;酶抑制劑與酶;及其類似者。此外,特異性結合對可包括為初始特異性結合成員之類似物的成員,例如分析物-類似物。免疫反應性特異性結合成員包括經分離或以重組方式產生之抗原、抗原片段及抗體,包括單株及多株抗體以及其複合物、片段及變異體(包括變異體片段)。 A "specific binding partner" is a member of a specific binding pair. The specific binding pair comprises 2 different molecules, which specifically bind to each other via chemical or physical means. Therefore, in addition to antigen-antibody specific binding pairs of common immunoassays, other specific binding pairs may include biotin and avidin (or streptavidin); carbohydrates and lectins; complementary nucleotide sequences Effector and receptor molecules; cofactors and enzymes; enzyme inhibitors and enzymes; and the like. In addition, a specific binding pair may include a member that is an analog of the initial specific binding member, such as an analyte-analog. Immunoreactive specific binding members include isolated or recombinantly produced antigens, antigen fragments and antibodies, including single and multiple strains of antibodies and their complexes, fragments and variants (including variant fragments).

如本文所用之「變異體」意謂因胺基酸之添加(例如插入)、缺失或保守性取代而在胺基酸序列方面不同於既定多肽(例如IL-1β、BNP、NGAL或HIV多肽或抗多肽抗體),但保留既定多肽之生物活性(例如變異體IL-1β可與抗IL-1β抗體競爭結合IL-1β)的多肽。胺基酸之保守性取代(亦即以具有類似性質(例如親水性及程度及帶電區域分佈)之不同胺基酸置換胺基酸)在此項技術中公認為通常涉及較小變化。如此項技術中所瞭解,此等較小變化可部分地藉由考慮胺基酸之親水指數(hydropathic index)來鑑別(參見例如Kyte等人,J.Mol.Biol.,157:105-132(1982))。胺基酸之親水指數係基於對其疏水性及電荷之考慮。在此項技術中已知具有類似親水指數之胺基酸可經取代且仍保留蛋白質功能。在一態樣中,具有±2之親水指數之胺基酸經取代。胺基酸之親水性亦可用於揭示將會產生保留生物功能之蛋白質的取代。對胺基酸親水性之考慮在肽之情況下允許計算該肽之最大局部平均親水性,其為一種已經報導與抗原性及免疫原性密切相關之適用量度(參見例如美國專利第4,554,101號)。如在此項技術中所瞭解,具有類似親水性值之胺基酸之取代作用可產生保留生物活性(例如免疫原性)之肽。在一態樣中,以親水性值處於彼此之±2範圍內之胺基酸進行取 代。胺基酸之疏水性指數及親水性值皆受該胺基酸之特定側鏈的影響。與該觀察結果一致,與生物功能相容之胺基酸取代作用應理解為取決於胺基酸且尤其彼等胺基酸之側鏈的相對相似性,如由疏水性、親水性、電荷、大小及其他性質所揭示。「變異體」亦可用於描述已經差異性處理(諸如藉由蛋白水解、磷酸化或其他轉譯後修飾),但仍保留其生物活性或抗原反應性(例如結合IL-1β之能力)的多肽或其片段。除非上下文另外相矛盾,否則本文中使用「變異體」意欲涵蓋變異體之片段。 As used herein, a `` variant '' means a amino acid sequence that differs from a given polypeptide (e.g., IL-1β, BNP, NGAL, or HIV polypeptide or due to amino acid addition (e.g., insertion), deletion, or conservative substitution). Anti-polypeptide antibody), but retains the biological activity of a given polypeptide (eg, a variant IL-1β can compete with an anti-IL-1β antibody for binding to IL-1β). Conservative substitutions of amino acids (ie, replacing amino acids with different amino acids having similar properties, such as hydrophilicity and extent and distribution of charged regions) are generally considered in the art to involve minor changes. As is known in the art, these minor changes can be identified in part by considering the hydropathic index of the amino acid (see, for example, Kyte et al., J. Mol. Biol. , 157: 105-132 ( 1982)). The hydrophilic index of amino acids is based on considerations of their hydrophobicity and charge. It is known in the art that amino acids with similar hydrophilic indices can be substituted and still retain protein function. In one aspect, an amino acid having a hydrophilic index of ± 2 is substituted. The hydrophilic nature of amino acids can also be used to reveal substitutions that would produce proteins that retain biological functions. The consideration of amino acid hydrophilicity in the case of a peptide allows calculation of the maximum local average hydrophilicity of the peptide, which is a suitable measure that has been reported to be closely related to antigenicity and immunogenicity (see, for example, U.S. Patent No. 4,554,101) . As is known in the art, substitution of amino acids with similar hydrophilicity values can produce peptides that retain biological activity (e.g., immunogenicity). In one aspect, substitution is performed with amino acids having a hydrophilicity value within a range of ± 2 from each other. The amino acid's hydrophobicity index and hydrophilicity value are both affected by the specific side chain of the amino acid. Consistent with this observation, amino acid substitutions that are compatible with biological functions are understood to depend on the relative similarity of amino acids and especially their side chains, such as hydrophobicity, hydrophilicity, charge, Size and other properties revealed. A "variant" can also be used to describe a polypeptide that has been differentially processed (such as by proteolysis, phosphorylation, or other post-translational modification) but still retains its biological activity or antigenic reactivity (such as the ability to bind Its fragment. Unless the context contradicts otherwise, the term "variant" is used herein to encompass fragments of the variant.

I. 結合人類IL-1β之抗體I. Antibodies that bind human IL-1β

本發明之一態樣提供以高親和力、較慢解離速率及高中和能力與IL-1β結合之經分離鼠類單株抗體或其抗原結合部分。本發明之第二態樣提供結合IL-1β之嵌合抗體。本發明之第三態樣提供結合IL-1β之CDR移植抗體或其抗原結合部分。本發明之第四態樣提供結合IL-1β之人類化抗體或其抗原結合部分。本發明之第五態樣提供結合IL-1β及另一標靶之雙重可變域免疫球蛋白(DVD-IgTM)分子。抗體或其部分較佳為經分離抗體。本發明之抗體較佳為中和人類抗IL-1β抗體。 One aspect of the present invention provides an isolated murine monoclonal antibody or an antigen-binding portion thereof that binds to IL-1β with high affinity, slow dissociation rate, and high neutralization ability. A second aspect of the invention provides a chimeric antibody that binds IL-1β. A third aspect of the present invention provides a CDR-grafted antibody or an antigen-binding portion thereof that binds IL-1β. A fourth aspect of the present invention provides a humanized antibody or an antigen-binding portion thereof that binds IL-1β. A fifth aspect of the present invention provides a dual variable domain immunoglobulin (DVD-Ig ) molecule that binds IL-1β and another target. The antibody or part thereof is preferably an isolated antibody. The antibody of the present invention is preferably a neutralizing human anti-IL-1β antibody.

A. 製備抗IL-1β抗體之方法A. Methods for preparing anti-IL-1β antibodies

本發明之抗IL-1β抗體可用此項技術中已知之許多技術中之任一者製備。 The anti-IL-1β antibodies of the present invention can be prepared by any of a number of techniques known in the art.

1. 使用融合瘤技術產生抗IL-1β單株抗體1. Production of anti-IL-1β monoclonal antibodies using fusion tumor technology

單株抗體可使用此項技術中所知之多種技術製備,包括使用融合瘤技術、重組技術及噬菌體呈現技術或其組合。舉例而言,單株抗體可使用融合瘤技術產生,包括此項技術中已知且在例如以下參考文獻中教示之彼等技術:Harlow等人,Antibodies:A Laboratory Manual,第2版(Cold Spring Harbor Laboratory Press,1988);Hammerling等人編,「Monoclonal Antibodiess and T-Cell Hybridomas」,Research Monographs in Immunology,第3卷(J.L.Turk總編輯)(Elsevier,New York,1981)第563-587頁(該等參考文獻以全文引用的方式併入本文中)。如本文所用之術語「單株抗體」並不限於經由融合瘤技術產生之抗體。術語「單株抗體」係指來源於單一純系(包括任何真核、原核或噬菌體純系)之抗體,而與產生其之方法無關。 Monoclonal antibodies can be prepared using a variety of techniques known in the art, including the use of fusion tumor technology, recombinant technology, and phage presentation technology, or a combination thereof. For example, monoclonal antibodies can be produced using fusion tumor technology, including those known in the art and taught in, for example, the following references: Harlow et al., Antibodies: A Laboratory Manual , 2nd Edition (Cold Spring Harbor Laboratory Press, 1988); Hammerling et al., "Monoclonal Antibodiess and T-Cell Hybridomas", Research Monographs in Immunology , Volume 3 (Editor in Chief JLTurk) (Elsevier, New York, 1981) pp. 563-587 (the And other references are incorporated herein by reference in their entirety). The term "monoclonal antibody" as used herein is not limited to antibodies produced via fusion tumor technology. The term "single antibody" refers to an antibody derived from a single pure line (including any eukaryotic, prokaryotic or phage pure line), regardless of the method by which it is produced.

使用融合瘤技術產生及篩選特定抗IL-1β抗體之方法為常規方法且在此項技術中已為熟知。在一實施例中,本發明提供產生單株抗體之方法以及由此方法產生之抗體,該方法包含培養分泌本發明抗體之融合瘤細胞,其中該融合瘤較佳係藉由使自經本發明抗原免疫之小鼠分離之脾細胞與骨髓瘤細胞融合且隨後在分泌能夠結合本發明多肽之抗體的融合瘤純系中篩選由融合體產生之融合瘤來產生。簡言之,可用IL-1β抗原使小鼠免疫。在一例示性實施例中,將IL-1β抗原與佐劑一起投與以刺激免疫反應。該等佐劑包括完全或不完全弗氏佐劑(Freund's adjuvant)、RIBI(胞壁醯二肽)或ISCOM(免疫刺激複合物)。該等佐劑可藉由將多肽螯合於局部沈積物中而保護其免於快速分散,或其可含有刺激宿主分泌對巨噬細胞及免疫系統之其他組份具有趨化性之因子的物質。較佳地,若投與多肽,則免疫時程將涉及分兩次或兩次以上投與多肽,為期數週。 Methods for generating and screening specific anti-IL-1β antibodies using fusion tumor technology are conventional methods and are well known in the art. In one embodiment, the present invention provides a method for producing a monoclonal antibody and an antibody produced by the method, the method comprising culturing a fusion tumor cell that secretes the antibody of the present invention, wherein the fusion tumor is preferably obtained by using the antigen of the present invention The spleen cells isolated from the immunized mice are fused with myeloma cells and are subsequently produced by screening for fusion tumors produced by the fusion in a pure line of fusion tumors that secrete antibodies capable of binding to the polypeptide of the invention. Briefly, mice can be immunized with the IL-1β antigen. In an exemplary embodiment, the IL-1 β antigen is administered with an adjuvant to stimulate an immune response. Such adjuvants include complete or incomplete Freund's adjuvant, RIBI (cell wall dipeptide) or ISCOM (immunostimulatory complex). These adjuvants can protect the polypeptide from rapid dispersal by sequestering the polypeptide in local sediments, or they can contain substances that stimulate the host to secrete factors that are chemotactic to macrophages and other components of the immune system . Preferably, if the polypeptide is administered, the immunization schedule will involve the administration of the polypeptide in two or more portions over a period of several weeks.

用IL-1β抗原使動物免疫之後,可自動物獲得抗體及/或抗體產生細胞。藉由將動物放血或處死而自動物獲得含有抗IL-1β抗體之血清。可如自動物獲得時之原樣來使用血清,可自血清獲得免疫球蛋白部分,或可自血清純化抗IL-1β抗體。以此方式獲得之血清或免疫球蛋白為多株的,由此具有一系列不同性質。 After the animal is immunized with the IL-1β antigen, antibodies and / or antibody-producing cells can be obtained from the animal. Animals obtained serum containing anti-IL-1β antibodies by bleeding or sacrifice animals. The serum can be used as it is when the animal is obtained, the immunoglobulin fraction can be obtained from the serum, or the anti-IL-1β antibody can be purified from the serum. The serum or immunoglobulins obtained in this way are multiple strains and thus have a range of different properties.

一旦偵測到免疫反應,例如在小鼠血清中偵測到對抗原IL-1β具特異性之抗體,即採集小鼠脾臟且分離脾細胞。隨後由熟知技術使脾細胞與任何適合之骨髓瘤細胞(例如來自可自American Type Culture Collection(ATCC,Manassas,Virginia)獲得之細胞株SP20之細胞)融合。由限制稀釋法選擇及選殖融合瘤。隨後針對分泌能夠結合IL-1β之抗體的細胞,由此項技術中所知之方法檢定融合瘤純系。可藉由用陽性融合瘤純系使小鼠免疫來產生一般含有高含量抗體之腹水。 Once an immune response is detected, such as the detection of antibodies specific for the antigen IL-1β in mouse serum, the mouse spleen is harvested and spleen cells are isolated. The spleen cells and any suitable myeloma cells (e.g. from American Type Culture Collection (ATCC, Manassas, Virginia) cell line SP20) fusion. Fusion tumors were selected and selected by limiting dilution. Cells that secrete antibodies capable of binding IL-1β are subsequently assayed for fused tumor pure lines by methods known in the art. Ascites, which typically contains high levels of antibodies, can be produced by immunizing mice with a pure line of positive fusion tumors.

在另一實施例中,可由經免疫之動物製備產生抗體之永生化融合瘤。免疫之後,將動物處死且如此項技術中所熟知使脾B細胞與永生化骨髓瘤細胞融合。參見例如Harlow等人,同上。在一例示性實施例中,骨髓瘤細胞不會分泌免疫球蛋白多肽(非分泌性細胞株)。融合及抗生素選擇之後,使用IL-1β或其部分或表現IL-1β之細胞來篩選融合瘤。在一例示性實施例中,使用酶聯免疫檢定(ELISA)或放射免疫檢定(RIA)、較佳為ELISA來進行初始篩選。ELISA篩選之一實例提供於PCT公開案第WO 00/37504號中,其以引用的方式併入本文中。 In another embodiment, an antibody-producing immortalized fusion tumor can be prepared from an immunized animal. Following immunization, the animals are sacrificed and the splenic B cells are fused with immortalized myeloma cells as is well known in the art. See, eg, Harlow et al., Supra. In an exemplary embodiment, the myeloma cells do not secrete an immunoglobulin polypeptide (a non-secretory cell line). After fusion and antibiotic selection, fused tumors are screened using IL-1β or a portion thereof or cells expressing IL-1β. In an exemplary embodiment, the initial screening is performed using an enzyme-linked immunoassay (ELISA) or a radioimmunoassay (RIA), preferably an ELISA. An example of an ELISA screen is provided in PCT Publication No. WO 00/37504, which is incorporated herein by reference.

選擇產生抗IL-1β抗體之融合瘤,進行選殖,且針對所需特徵(包括穩固融合瘤生長、高抗體產量及如以下進一步討論之所需抗體特徵)進一步篩選。融合瘤可在活體內於同基因型動物中、缺乏免疫系統之動物(例如裸小鼠)中培養及擴充,或在活體外於細胞培養物中培養及擴充。選擇、選殖及擴充融合瘤之方法為一般技術者所熟知。 Fusion tumors producing anti-IL-1β antibodies are selected, colonized, and further screened for desired characteristics, including stable fusion tumor growth, high antibody production, and desired antibody characteristics as discussed further below. Fusion tumors can be cultured and expanded in vivo in animals of the same genotype, animals lacking the immune system (such as nude mice), or cultured and expanded in vitro in cell cultures. Methods for selecting, colonizing and expanding fusion tumors are well known to those of ordinary skill.

在一例示性實施例中,融合瘤為如上所述之小鼠融合瘤。在另一較佳實施例中,融合瘤係在非人類、非小鼠物種(諸如大鼠、綿羊、豬、山羊、牛或馬)中產生。在另一實施例中,融合瘤為人類融合瘤,其中人類非分泌性骨髓瘤與表現抗IL-1β抗體之人類細胞融合。 In an exemplary embodiment, the fusion tumor is a mouse fusion tumor as described above. In another preferred embodiment, the fusion tumor line is produced in a non-human, non-mouse species, such as a rat, sheep, pig, goat, cow, or horse. In another embodiment, the fusion tumor is a human fusion tumor, wherein a human non-secretory myeloma is fused with a human cell expressing an anti-IL-1β antibody.

可由已知技術產生識別特異性抗原決定基之抗體片段。舉例而言,可藉由使用諸如木瓜蛋白酶(以產生Fab片段)或胃蛋白酶(以產生F(ab')2片段)之酶使免疫球蛋白分子發生蛋白水解分裂來產生本發明之Fab及F(ab')2片段。F(ab')2片段含有可變區、輕鏈恆定區及重鏈CHI域。 Antibody fragments that recognize specific epitopes can be produced by known techniques. For example, the Fabs and Fs of the invention can be produced by proteolytic cleavage of immunoglobulin molecules using enzymes such as papain (to produce Fab fragments) or pepsin (to produce F (ab ') 2 fragments). (ab ') 2 fragments. The F (ab ') 2 fragment contains a variable region, a light chain constant region, and a heavy chain CHI domain.

2. 使用SLAM產生抗IL-1β單株抗體2. Production of anti-IL-1β monoclonal antibodies using SLAM

在本發明之另一態樣中,使用如美國專利第5,627,052號;PCT公開案第WO 92/02551號;及Babcook等人,Proc.Natl.Acad.Sci.USA,93:7843-7848(1996)中所述之在此項技術中稱為選擇淋巴細胞抗體方法(selected lymphocyte antibody method,SLAM)之程序自單一、經分離之淋巴細胞產生重組抗體。在此方法中,使用抗原特異性溶血空斑檢定來篩選分泌相關抗體之單一細胞,例如來源於第1部分中所述之任一經免疫動物之淋巴細胞,其中抗原IL-1β、IL-1β之次單元或其片段係使用諸如生物素之連接子與綿羊紅血球偶合且用於鑑別分泌對IL-1β具特異性之抗體的單一細胞。在鑑別相關抗體分泌細胞之後,藉由反轉錄酶-PCR自細胞取出重鏈及輕鏈可變區(VH及VL)cDNA,且隨後可在適當免疫球蛋白恆定區(例如人類恆定區)之情形中,於哺乳動物宿主細胞(諸如COS或CHO細胞)中表現此等可變區。隨後可對經來源於活體內選擇之淋巴細胞之經擴增免疫球蛋白序列轉染之宿主細胞進行進一步活體外分析及選擇(例如藉由淘選經轉染之細胞)以分離表現針對IL-1β之抗體的細胞。可諸如由活體外親和力成熟方法(諸如PCT公開案第WO 97/29131號及PCT公開案第WO 00/56772號中所述之方法)於活體外進一步處理經擴增之免疫球蛋白序列。 In another aspect of the invention, use is made of, for example, U.S. Patent No. 5,627,052; PCT Publication No. WO 92/02551; and Babcook et al., Proc. Natl. Acad. Sci. USA , 93: 7843-7848 (1996 The procedure described in), referred to in the art as the selected lymphocyte antibody method (SLAM), produces recombinant antibodies from a single, isolated lymphocyte. In this method, an antigen-specific hemolytic plaque assay is used to screen single cells that secrete relevant antibodies, such as lymphocytes derived from any of the immunized animals described in Part 1, where the antigens IL-1β, IL-1β Subunits or fragments thereof are coupled to sheep red blood cells using a linker such as biotin and are used to identify single cells that secrete antibodies specific for IL-1β. After identifying the relevant antibody-secreting cells, the heavy and light chain variable region (VH and VL) cDNAs are removed from the cells by reverse transcriptase-PCR, and then can be found in appropriate immunoglobulin constant regions (such as human constant regions). In such cases, these variable regions are expressed in mammalian host cells, such as COS or CHO cells. Further in vitro analysis and selection of host cells transfected with amplified immunoglobulin sequences derived from in vivo selected lymphocytes can be performed (e.g., by panning transfected cells) to isolate expression against IL- 1β antibody cells. The amplified immunoglobulin sequences may be further processed in vitro, such as by in vitro affinity maturation methods such as those described in PCT Publication No. WO 97/29131 and PCT Publication No. WO 00/56772.

3. 使用轉殖基因動物產生抗IL-1β單株抗體3. Production of anti-IL-1β monoclonal antibodies using transgenic animals

在本發明之另一實施例中,藉由用IL-1β抗原使包含一些或全部人類免疫球蛋白基因座之非人類動物免疫來產生抗體。在一例示性實施例中,非人類動物為XENOMOUSE轉殖基因小鼠,其為包含人類免疫球蛋白基因座之較大片段且小鼠抗體產生缺乏之經工程改造小鼠品系。參見例如Green等人,Nature Genetics,7:13-21(1994)及美國專利第5,916,771號;第5,939,598號;第5,985,615號;第5,998,209號;第6,075,181號;第6,091,001號;第6,114,598號及第6,130,364號。亦參 見1991年7月25日公開之PCT公開案第WO 91/10741號;1994年2月3日公開之WO 94/02602;1996年10月31日公開之WO 96/34096與WO 96/33735;1998年4月23日公開之WO 98/16654;1998年6月11日公開之WO 98/24893;1998年11月12日公開之WO 98/50433;1999年9月10日公開之WO 99/45031;1999年10月21日公開之WO 99/53049;2000年2月24日公開之WO 00/09560;及2000年6月29日公開之WO 00/037504。XENOMOUSE®轉殖基因小鼠產生完全人類抗體之擬似成人人類譜系,且生成抗原特異性人類Mab。XENOMOUSE®轉殖基因小鼠經由引入人類重鏈基因座及x輕鏈基因座之百萬鹼基(megabase)大小的生殖系構型YAC片段而含有約80%之人類抗體譜系。參見Mendez等人,Nature Genetics 15:146-156(1997);及Green及Jakobovits,J.Exp.Med.188:483-495(1998),兩者之揭示內容以引用的方式併入本文中。 In another embodiment of the invention, the antibodies are produced by immunizing a non-human animal comprising some or all human immunoglobulin loci with an IL-1β antigen. In an exemplary embodiment, the non-human animal is a XENOMOUSE transgenic mouse, which is an engineered mouse strain that contains a larger fragment of a human immunoglobulin locus and lacks mouse antibody production. See, for example, Green et al., Nature Genetics , 7: 13-21 (1994) and U.S. Patent Nos. 5,916,771; 5,939,598; 5,985,615; 5,998,209; 6,075,181; 6,091,001; 6,114,598 and 6,130,364 number. See also PCT Publication No. WO 91/10741 published on July 25, 1991; WO 94/02602 published on February 3, 1994; WO 96/34096 and WO 96/33735 published on October 31, 1996 ; WO 98/16654 published on April 23, 1998; WO 98/24893 published on June 11, 1998; WO 98/50433 published on November 12, 1998; WO 99 published on September 10, 1999 / 45031; WO 99/53049 published on October 21, 1999; WO 00/09560 published on February 24, 2000; and WO 00/037504 published on June 29, 2000. XENOMOUSE® transgenic mice produce fully human antibody-like adult human lineages and generate antigen-specific human Mabs. XENOMOUSE® transgenic mice contain approximately 80% of the human antibody lineage by introducing YAC fragments in the megabase-sized germline configuration of the human heavy chain locus and the x light chain locus. See Mendez et al., Nature Genetics 15: 146-156 (1997); and Green and Jakobovits, J. Exp. Med. 188: 483-495 (1998), the disclosures of both of which are incorporated herein by reference.

4. 使用重組抗體文庫產生抗IL-1β單株抗體4. Production of anti-IL-1β monoclonal antibodies using recombinant antibody libraries

亦可使用活體外方法製備本發明之抗體,其中抗體文庫經篩選以鑑別具有所要結合特異性之抗體。該重組抗體文庫篩選之方法在此項技術中已為熟知且包括例如以下文獻中所述之方法:Ladner等人,美國專利第5,223,409號;Kang等人,PCT公開案第WO 92/18619號;Dower等人,PCT公開案第WO 91/17271號;Winter等人,PCT公開案第WO 92/20791號;Markland等人,PCT公開案第WO 92/15679號;Breitling等人,PCT公開案第WO 93/01288號;McCafferty等人,PCT公開案第WO 92/01047號;Garrard等人,PCT公開案第WO 92/09690號;Fuchs等人,Bio/Technology,9:1369-1372(1991);Hay等人,Hum.Antibod.Hybridomas,3:81-85(1992);Huse等人,Science,246:1275-1281(1989);McCafferty等人,Nature,348:552-554(1990);Griffiths等人,EMBO J.,12:725-734(1993);Hawkins等人,J.Mol.Biol.,226: 889-896(1992);Clackson等人,Nature,352:624-628(1991);Gram等人,Proc.Natl.Acad.Sci.USA,89:3576-3580(1992);Garrard等人,Bio/Technology,9:1373-1377(1991);Hoogenboom等人,Nucl.Acids Res.,19:4133-4137(1991);及Barbas等人,Proc.Natl.Acad.Sci.USA,88:7978-7982(1991);美國公開案第2003/0186374號;及PCT公開案第WO 97/29131號,各者之內容以引用的方式併入本文中。 Antibodies of the invention can also be prepared using in vitro methods, where the antibody library is screened to identify antibodies with the specific binding specificity desired. Methods for screening recombinant antibody libraries are well known in the art and include, for example, methods described in the following literatures: Ladner et al., U.S. Patent No. 5,223,409; Kang et al., PCT Publication No. WO 92/18619; Dower et al., PCT Publication No. WO 91/17271; Winter et al., PCT Publication No. WO 92/20791; Markland et al., PCT Publication No. WO 92/15679; Breitling et al., PCT Publication No. WO 93/01288; McCarffer et al., PCT Publication No. WO 92/01047; Garrard et al., PCT Publication No. WO 92/09690; Fuchs et al., Bio / Technology , 9: 1369-1372 (1991) Hay et al., Hum . Antibod . Hybridomas , 3: 81-85 (1992); Huse et al., Science , 246: 1275-1281 (1989); McCafferty et al., Nature, 348: 552-554 (1990); Griffiths et al., EMBO J. , 12: 725-734 (1993); Hawkins et al., J. Mol. Biol. , 226: 889-896 (1992); Clackson et al., Nature , 352: 624-628 (1991 ); Gram et al., Proc. Natl. Acad. Sci. USA , 89: 3576-3580 (1992); Garrard et al., Bio / Technology , 9: 1373-1377 (1991); Hoogenboom et al., Nucl. Acids Res ., 19: 4133-4137 (1991); and Barbas et al., Proc.Natl.Acad.Sci.USA, 88: 7978-7982 (1991 ); U.S. Publication No. 2003/0186374; and PCT Publication No. WO No. 97/29131, the contents of each of which is incorporated herein by reference.

重組抗體文庫可來自經IL-1β或IL-1β之一部分免疫之個體。或者,重組抗體文庫可來自未經處理之個體,亦即未經IL-1β免疫之個體,諸如來自未經人類IL-1β免疫之人類個體的人類抗體文庫。藉由用包含人類IL-1β之肽篩選重組抗體文庫以藉此選擇識別IL-1β之彼等抗體來選擇本發明之抗體。進行該篩選及選擇之方法在此項技術中已為熟知,諸如前一段之參考文獻中所述。為選擇對人類IL-1β具有特定結合親和力之本發明抗體,諸如以特定Koff速率常數自人類IL-1β解離之抗體,可使用此項技術所知之表面電漿子共振方法來選擇具有所要Koff速率常數之抗體。為選擇對人類IL-1β具有特定中和活性之本發明抗體,諸如具有特定IC50之抗體,可使用此項技術中已知用於評估對人類IL-1β活性之抑制的標準方法。 Recombinant antibody libraries can be from individuals immunized with IL-1β or a portion of IL-1β. Alternatively, the recombinant antibody library may be from an untreated individual, that is, an individual that is not immunized with IL-1β, such as a human antibody library from a human individual that is not immunized with human IL-1β. The antibodies of the invention are selected by screening a library of recombinant antibodies with a peptide comprising human IL-1β to thereby select those antibodies that recognize IL-1β. Methods for performing this screening and selection are well known in the art, such as described in the references in the previous paragraph. To select antibodies of the invention that have specific binding affinity for human IL-1β, such as antibodies that dissociate from human IL-1β at a specific K off rate constant, surface plasmon resonance methods known in the art can be used to select K off rate constant antibody. To select antibodies specific to the present invention having the activity of neutralizing human IL-1β, such as a specific antibody of the IC 50, standard methods may be used to inhibit the activity of human IL-1β is known in the art for evaluation.

在一態樣中,本發明係關於一種結合人類IL-1β之經分離抗體或其抗原結合部分。該抗體較佳為中和抗體。在各種實施例中,該抗體為重組抗體或單株抗體。 In one aspect, the invention relates to an isolated antibody or antigen-binding portion thereof that binds human IL-1β. The antibody is preferably a neutralizing antibody. In various embodiments, the antibody is a recombinant antibody or a monoclonal antibody.

舉例而言,亦可使用此項技術中所知之各種噬菌體呈現方法來產生本發明之抗體。在噬菌體呈現方法中,使功能抗體域呈現於帶有編碼其之聚核苷酸序列之噬菌體粒子的表面上。詳言之,可利用該噬菌體呈現自譜系或組合抗體文庫(例如人類或鼠類)表現之抗原結合域。可利用抗原,例如使用經標記抗原或結合或捕捉於固體表面或珠粒之抗原來選擇或鑑別表現結合相關抗原之抗原結合域的噬菌體。此等方 法中所用之噬菌體通常為絲狀噬菌體,其包括自Fab、Fv或二硫鍵穩定之Fv抗體域與噬菌體基因III或基因VIII蛋白質重組融合之噬菌體表現的fd及M13結合域。可用於製備本發明抗體之噬菌體呈現方法之實例包括以下文獻中所揭示之方法:Brinkmann等人,J.Immunol.Methods,182:41-50(1995);Ames等人,J.Immunol.Methods,184:177-186(1995);Kettleborough等人,Eur.J.Immunol.,24:952-958(1994);Persic等人,Gene,187:9-18(1997);Burton等人,Adv.Immunol.,57:191-280(1994);PCT公開案第WO 90/02809號;第WO 91/10737號;第WO 92/01047號(PCT/GB91/01134);第WO 92/18619號;第WO 93/11236號;第WO 95/15982號;第WO 95/20401號;及美國專利第5,698,426號;第5,223,409號;第5,403,484號;第5,580,717號;第5,427,908號;第5,821,047號;第5,571,698號;第5,427,908號;第5,516,637號;第5,780,225號;第5,658,727號;第5,733,743號及第5,969,108號;各者以全文引用的方式併入本文中。 For example, various phage presentation methods known in the art can also be used to produce antibodies of the invention. In a phage presentation method, a functional antibody domain is presented on the surface of a phage particle with a polynucleotide sequence encoding it. In particular, the phage can be used to present antigen-binding domains expressed from lineages or combinatorial antibody libraries (eg, human or murine). Antigens can be used, for example, to select or identify phages that express an antigen-binding domain that binds to the relevant antigen, using labeled antigens or antigens that bind or capture on solid surfaces or beads. The phage used in these methods are usually filamentous phages, which include fd and M13 binding domains expressed by phage recombinantly fused with phage gene III or gene VIII proteins from Fab, Fv or disulfide-bonded Fv antibody domains. Examples of phage presentation methods that can be used to prepare the antibodies of the present invention include methods disclosed in the following literatures: Brinkmann et al., J. Immunol. Methods , 182: 41-50 (1995); Ames et al., J. Immunol. Methods , 184: 177-186 (1995); Kettleborough et al., Eur. J. Immunol. , 24: 952-958 (1994); Persic et al., Gene , 187: 9-18 (1997); Burton et al., Adv. Immunol. , 57: 191-280 (1994); PCT Publication No. WO 90/02809; No. WO 91/10737; No. WO 92/01047 (PCT / GB91 / 01134); No. WO 92/18619; WO 93/11236; WO 95/15982; WO 95/20401; and U.S. Patent No. 5,698,426; No. 5,223,409; No. 5,403,484; No. 5,580,717; No. 5,427,908; No. 5,821,047; No. 5,571,698 No. 5,427,908; No. 5,516,637; No. 5,780,225; No. 5,658,727; No. 5,733,743 and No. 5,969,108; each of which is incorporated herein by reference in its entirety.

如以上參考文獻中所述,在噬菌體選擇之後,可自噬菌體分離抗體編碼區且將其用於產生包括人類抗體或任何其他所要抗原結合片段之完整抗體,且於任何所要宿主(包括哺乳動物細胞、昆蟲細胞、植物細胞、酵母及細菌)中表現,如例如以下所詳述。舉例而言,亦可使用此項技術中所知之方法來利用重組產生Fab、Fab'及F(ab')2片段之技術,諸如PCT公開案第WO 92/22324號;Mullinax等人,BioTechniques,12(6):864-869(1992);及Sawai等人,Am.J.Reprod.Immunol.,34:26-34(1995);及Better等人,Science,240:1041-1043(1988)(該等參考文獻以全文引用的方式併入)中所揭示之方法。可用於產生單鏈Fv及抗體之技術之實例包括美國專利第4,946,778號及第5,258,498號;Huston等人,Methods Enzymol.,203:46-88(1991);Shu等人,Proc.Natl.Acad.Sci.USA,90:7995-7999(1993);及Skerra等人, Science,240:1038-1041(1988)中所述之技術。 As described in the references above, after phage selection, the antibody coding region can be isolated from the phage and used to generate intact antibodies including human antibodies or any other desired antigen-binding fragments, and in any desired host, including mammalian cells , Insect cells, plant cells, yeast, and bacteria), as described in detail below, for example. For example, methods known in the art can also be used to generate recombinantly Fab, Fab ', and F (ab') 2 fragments, such as PCT Publication No. WO 92/22324; Mullinax et al., BioTechniques , 12 (6): 864-869 (1992); and Sawai et al., Am. J. Reprod. Immunol. , 34: 26-34 (1995); and Better et al., Science , 240: 1041-1043 (1988) ) (These references are incorporated by reference in their entirety). Examples of techniques that can be used to generate single chain Fv and antibodies include U.S. Patent Nos. 4,946,778 and 5,258,498; Huston et al., Methods Enzymol., 203: 46-88 (1991); Shu et al., Proc. Natl. Acad. Sci . USA , 90: 7995-7999 (1993); and the technique described in Skera et al., Science , 240: 1038-1041 (1988).

替代藉由噬菌體呈現來篩選重組抗體文庫,可應用此項技術中已知用於篩選較大組合文庫之其他方法來鑑別本發明之雙重特異性抗體。如Szostak及Roberts之PCT公開案第WO 98/31700號及Roberts及Szostak,Proc.Natl.Acad.Sci.USA,94:12297-12302(1997)中所述,一類替代表現系統為重組抗體文庫表現為RNA-蛋白質融合體之表現系統。在此系統中,藉由在活體外轉譯於3'末端處帶有嘌呤黴素、肽基受體抗生素之合成mRNA而在mRNA與其編碼之肽或蛋白質之間形成共價融合體。因此,可基於所編碼之肽或蛋白質(例如抗體或其部分)之性質(諸如抗體或其部分與雙重特異性抗原之結合),自mRNA之複雜混合物(例如組合文庫)增濃特異性mRNA。可由如上所述之重組方式(例如在哺乳動物宿主細胞中)表現自篩選該等文庫所回收之編碼抗體或其部分之核酸序列,且另外可藉由對向最初選擇之序列中引入突變之mRNA-肽融合體進行更多輪篩選或藉由如上所述之用於重組抗體之活體外親和力成熟之其他方法來進行進一步親和力成熟。 Instead of screening recombinant antibody libraries by phage presentation, other methods known in the art for screening larger combinatorial libraries can be used to identify the dual specific antibodies of the invention. As described in PCT Publication No. WO 98/31700 by Szostak and Roberts and Roberts and Szostak, Proc. Natl. Acad. Sci. USA , 94: 12297-12302 (1997), a class of alternative expression systems is the expression of recombinant antibody libraries An expression system for RNA-protein fusions. In this system, a covalent fusion is formed between the mRNA and its encoded peptide or protein by translating in vitro a synthetic mRNA carrying puromycin, a peptidyl receptor antibiotic at the 3 'end. Thus, specific mRNAs can be enriched from a complex mixture of mRNAs (e.g., combinatorial libraries) based on the nature of the encoded peptide or protein (e.g., an antibody or part thereof), such as the binding of an antibody or part thereof to a dual specific antigen. Nucleic acid sequences encoding antibodies or portions thereof recovered from screening of such libraries can be expressed recombinantly as described above (e.g., in mammalian host cells), and in addition, mutant mRNA can be introduced into the originally selected sequence by pairing -Peptide fusions undergo more rounds of screening or further affinity maturation by other methods for in vitro affinity maturation of recombinant antibodies as described above.

在另一方法中,亦可使用此項技術中所知之酵母呈現方法來產生本發明之抗體。在酵母呈現方法中,使用遺傳方法將抗體域繫栓(tether)至酵母細胞壁且使其呈現於酵母表面上。詳言之,可利用該酵母呈現自譜系或組合抗體文庫(例如人類或鼠類)表現之抗原結合域。可用於製備本發明抗體之酵母呈現方法之實例包括Wittrup等人於美國專利第6,699,658號中所揭示之方法,該專利以引用的方式併入本文中。 In another method, yeast presentation methods known in the art can also be used to generate antibodies of the invention. In the yeast presentation method, a genetic method is used to tether the antibody domain to the yeast cell wall and present it on the yeast surface. In particular, the yeast can be used to present antigen-binding domains expressed from lineages or combinatorial antibody libraries (eg, human or murine). Examples of yeast presentation methods that can be used to prepare antibodies of the invention include the method disclosed by Wittrup et al. In US Patent No. 6,699,658, which is incorporated herein by reference.

B. 產生重組IL-1β抗體B. Production of recombinant IL-1β antibodies

可由此項技術中所知之許多技術中之任一者來產生本發明之抗體。舉例而言,自宿主細胞表現,其中藉由標準技術將編碼重鏈及輕鏈之表現載體轉染至宿主細胞中。各種形式之術語「轉染」意欲涵蓋 通常用於將外源DNA引入原核或真核宿主細胞中之多種技術,例如電穿孔、磷酸鈣沈澱、DEAE-聚葡萄糖轉染及其類似技術。儘管有可能在原核或真核宿主細胞中表現本發明之抗體,但因為真核細胞(且尤其哺乳動物細胞)與原核細胞相比更可能組裝且分泌經適當摺疊且具免疫活性之抗體,所以較佳於該等真核細胞中且最佳於哺乳動物宿主細胞中表現抗體。 Antibodies of the invention can be produced by any of a number of techniques known in the art. For example, expression from a host cell, where expression vectors encoding the heavy and light chains are transfected into the host cell by standard techniques. Various forms of the term "transfection" are intended to cover Various techniques commonly used to introduce foreign DNA into prokaryotic or eukaryotic host cells, such as electroporation, calcium phosphate precipitation, DEAE-polyglucose transfection, and the like. Although it is possible to express the antibodies of the present invention in prokaryotic or eukaryotic host cells, because eukaryotic cells (and especially mammalian cells) are more likely to assemble and secrete appropriately folded and immunoactive antibodies than prokaryotic cells, It is preferred to express antibodies in these eukaryotic cells and most preferably in mammalian host cells.

表現本發明重組抗體之較佳哺乳動物宿主細胞包括中國倉鼠卵巢細胞(CHO細胞)(包括Urlaub及Chasin,Proc.Natl.Acad.Sci.USA,77:4216-4220(1980)中所述之dhfr-CHO細胞,其與DHFR可選擇標記物一起使用,如例如Kaufman及Sharp,J.Mol.Biol.,159:601-621(1982)中所述)、NS0骨髓瘤細胞、COS細胞及SP2細胞。當將編碼抗體基因之重組表現載體引入哺乳動物宿主細胞中時,藉由培養宿主細胞持續足以允許抗體在宿主細胞中表現或更佳允許抗體分泌至宿主細胞所生長之培養基中之時段來產生抗體。可使用標準蛋白質純化方法自培養基中回收抗體。 Preferred mammalian host cells expressing the recombinant antibodies of the present invention include Chinese hamster ovary cells (CHO cells) (including Urlaub and Chain, Proc. Natl. Acad. Sci. USA , 77: 4216-4220 (1980)) -CHO cells for use with DHFR selectable markers, as described, for example, in Kaufman and Sharp, J. Mol. Biol., 159: 601-621 (1982)), NSO myeloma cells, COS cells, and SP2 cells . When a recombinant expression vector encoding an antibody gene is introduced into a mammalian host cell, the antibody is produced by culturing the host cell for a period of time sufficient to allow the antibody to perform in the host cell or better to allow the antibody to be secreted into the medium in which the host cell is grown . Antibodies can be recovered from the culture medium using standard protein purification methods.

亦可使用宿主細胞產生功能抗體片段,諸如Fab片段或scFv分子。應瞭解,上述程序之變更處於本發明之範疇內。舉例而言,可能需要用編碼本發明抗體之輕鏈及/或重鏈之功能片段的DNA轉染宿主細胞。亦可使用重組DNA技術移除一些或全部編碼並非結合相關抗原所必需之輕鏈及重鏈中之一或兩者的DNA。本發明之抗體亦涵蓋自該等截斷DNA分子表現之分子。另外,可藉由使用標準化學交聯方法使本發明抗體與第二抗體交聯來產生雙官能抗體,其中一個重鏈及一個輕鏈為本發明抗體且另一重鏈及另一輕鏈對非相關抗原之抗原具特異性。 Host cells can also be used to produce functional antibody fragments, such as Fab fragments or scFv molecules. It should be understood that changes to the above procedures are within the scope of the present invention. For example, it may be desirable to transfect host cells with DNA encoding functional fragments of the light and / or heavy chains of the antibodies of the invention. Recombinant DNA technology can also be used to remove some or all of the DNA encoding one or both of the light and heavy chains that are not necessary to bind the relevant antigen. Antibodies of the invention also encompass molecules expressed from such truncated DNA molecules. In addition, bifunctional antibodies can be produced by cross-linking an antibody of the invention with a second antibody using standard chemical cross-linking methods, where one heavy chain and one light chain are antibodies of the invention and the other heavy chain and another light chain are opposite The antigen of the relevant antigen is specific.

在重組表現本發明之抗體或其抗原結合部分之例示性系統中,藉由磷酸鈣介導之轉染將編碼抗體重鏈與抗體輕鏈之重組表現載體引入 dhfr-CHO細胞中。在重組表現載體內,使抗體重鏈及輕鏈基因各自可操作地連接至CMV強化子/AdMLP啟動子調控元件以驅動基因以高水準轉錄。重組表現載體亦帶有DHFR基因,其允許使用甲胺喋呤選擇/擴增來選擇已經載體轉染之CHO細胞。培養所選轉型體宿主細胞以允許表現抗體重鏈及輕鏈且自培養基中回收完整抗體。使用標準分子生物學技術製備重組表現載體,轉染宿主細胞,選擇轉型體,培養宿主細胞且自培養基中回收抗體。另外,本發明提供一種藉由在適合之培養基中培養本發明之宿主細胞直至合成本發明之重組抗體來合成本發明重組抗體之方法。該方法可進一步包含自培養基中分離重組抗體。 In an exemplary system that recombinantly expresses an antibody or antigen-binding portion thereof of the present invention, a recombinant expression vector encoding an antibody heavy chain and an antibody light chain is introduced by calcium phosphate-mediated transfection dhfr-CHO cells. Within the recombinant expression vector, the antibody heavy chain and light chain genes are each operably linked to CMV enhancer / AdMLP promoter regulatory elements to drive gene transcription at a high level. The recombinant expression vector also carries the DHFR gene, which allows the use of methotrexate selection / amplification to select CHO cells that have been transfected with the vector. The selected transformant host cells are cultured to allow expression of antibody heavy and light chains and recovery of intact antibodies from the culture medium. Recombinant expression vectors are prepared using standard molecular biology techniques, host cells are transfected, transformants are selected, host cells are cultured, and antibodies are recovered from the culture medium. In addition, the present invention provides a method for synthesizing the recombinant antibody of the present invention by culturing the host cell of the present invention in a suitable medium until the recombinant antibody of the present invention is synthesized. The method may further include isolating the recombinant antibody from the culture medium.

1. 抗人類IL-1β嵌合抗體Anti-human IL-1β chimeric antibody

嵌合抗體為抗體之不同部分來源於不同動物物種之分子,諸如具有來源於鼠類單株抗體之可變區及人類免疫球蛋白恆定區之抗體。產生嵌合抗體之方法在此項技術中為已知的且於實例部分中詳細討論。參見例如Morrison,S.L.,Science,229:1202-1207(1985);Oi等人,BioTechniques,4:214-221(1986);Gillies等人,J.Immunol.Methods,125:191-202(1989);美國專利第5,807,715號;第4,816,567號;及第4,816,397號,該等文獻以全文引用的方式併入本文中。另外,可使用經開發用於藉由將來自具有適當抗原特異性之小鼠抗體分子之基因與來自具有適當生物活性之人類抗體分子之基因拼接在一起來產生「嵌合抗體」之技術(Morrison等人,Proc.Natl.Acad.Sci.USA,81:6851-6855(1984);Neuberger等人,Nature,312:604-608(1984);Takeda等人,Nature,314:452-454(1985),該等文獻以全文引用的方式併入本文中)。 Chimeric antibodies are molecules from which different parts of the antibody are derived from different animal species, such as antibodies with variable regions derived from murine monoclonal antibodies and human immunoglobulin constant regions. Methods of generating chimeric antibodies are known in the art and are discussed in detail in the Examples section. See, eg, Morrison, SL, Science , 229: 1202-1207 (1985); Oi et al., BioTechniques , 4: 214-221 (1986); Gillies et al., J. Immunol. Methods , 125: 191-220 (1989) US Patent Nos. 5,807,715; 4,816,567; and 4,816,397, which are incorporated herein by reference in their entirety. In addition, techniques developed to generate "chimeric antibodies" by splicing genes from mouse antibody molecules with appropriate antigen specificity and genes from human antibody molecules with appropriate biological activity can be used (Morrison Et al., Proc. Natl. Acad. Sci. USA , 81: 6851-6855 (1984); Neuberger et al., Nature , 312: 604-608 (1984); Takeda et al., Nature , 314: 452-454 (1985) ), Which is incorporated herein by reference in its entirety).

在一實施例中,本發明之嵌合抗體係藉由用人類IgG1恆定區置換部分1中所述之鼠類單株抗人類IL-1β抗體之重鏈恆定區而製備。 In one example, the chimeric anti-system of the present invention is prepared by replacing the heavy chain constant region of the murine single anti-human IL-1β antibody described in Section 1 with the human IgG1 constant region.

2. 抗IL-1β CDR移植抗體2. Anti-IL-1β CDR grafted antibody

本發明之CDR移植抗體包含來自人類抗體之重鏈及輕鏈可變區序列,其中VH及/或VL之一或多個CDR區經本發明之鼠類抗體之CDR序列置換。來自任何人類抗體之構架序列可充當CDR移植之模板。然而,此類構架上之直接鏈置換通常導致與抗原之結合親和力有一定損失。人類抗體與初始鼠類抗體之同源性愈高,鼠類CDR與人類構架之組合向CDR中引入可降低親和力之畸變的可能性會愈小。因此,經選擇以置換除CDR以外之鼠類可變構架之人類可變構架較佳與鼠類抗體可變區構架具有至少65%之序列一致性。除CDR以外之人類與鼠類可變區更佳具有至少70%之序列一致性。除CDR以外之人類與鼠類可變區甚至更佳具有至少75%之序列一致性。除CDR以外之人類與鼠類可變區最佳具有至少80%之序列一致性。產生嵌合抗體之方法在此項技術中為已知的。參見例如歐洲專利第EP 0 239 400號;PCT公開案第WO 91/09967號;美國專利第5,225,539號;第5,530,101號;及第5,585,089號。關於抗體之鑲飾或重塑,參見例如歐洲專利第EP 0 592 106號及第EP 0 519 596號;Padlan,Mol.Immunol.,28(4/5):489-498(1991);Studnicka等人,Protein Eng.,7(6):805-814(1994);及Roguska等人,Proc.Natl.Acad.Sci.USA,91:969-973(1994)。關於抗體鏈改組,參見例如美國專利第5,565,352號。 CDR-grafted antibody of the present invention comprises a heavy and light chain variable region sequences from a human antibody in which V H and / or one or more CDR regions V L CDR sequences of murine antibodies by the present invention substitutions. Framework sequences from any human antibody can serve as a template for CDR transplantation. However, direct chain replacement on such frameworks usually results in some loss of binding affinity to the antigen. The higher the homology between the human antibody and the original murine antibody, the less likely it is that the combination of the murine CDR and the human framework will introduce aberrations that reduce affinity. Therefore, human variable frameworks selected to replace murine variable frameworks other than CDRs preferably have at least 65% sequence identity with murine antibody variable region frameworks. Human and murine variable regions other than CDRs preferably have at least 70% sequence identity. Human and murine variable regions other than CDRs even have at least 75% sequence identity. Human and murine variable regions other than CDRs preferably have at least 80% sequence identity. Methods for generating chimeric antibodies are known in the art. See, for example, European Patent No. EP 0 239 400; PCT Publication No. WO 91/09967; US Patent No. 5,225,539; No. 5,530,101; and No. 5,585,089. For the decoration or remodeling of antibodies, see, for example, European Patent Nos. EP 0 592 106 and EP 0 519 596; Padlan, Mol. Immunol. , 28 (4/5): 489-498 (1991); Studnicka et al. Human, Protein Eng., 7 (6): 805-814 (1994); and Roguska et al., Proc. Natl. Acad. Sci. USA , 91: 969-973 (1994). For antibody chain shuffling, see, for example, US Patent No. 5,565,352.

3. 抗人類IL-1β人類化抗體3. Anti-human IL-1β humanized antibody

人類化抗體為來自結合所要抗原之非人類物種抗體之抗體分子,其具有來自非人類物種抗體之一或多個互補決定區(CDR)及來自人類免疫球蛋白分子之構架區。已知人類Ig序列揭示於例如以下全球資訊網站:www.ncbi.nlm.nih.gov/entrez-/query.fcgi;www.atcc.org/phage/hdb.html;www.sciquest.com/;www.abcam.com/;www.antibodyresource.com/onlinecomp.html;www.public.iastate.edu/.about.pedro/research_tools.html; www.mgen.uni-heidelberg.de/SD/IT/IT.html;www.whfreeman.com/immunology/CH-05/kuby05.htm;www.library.thinkquest.org/12429/Immune/Antibody.html;www.hhmi.org/grants/lectures/1996/vlab/;www.path.cam.ac.uk/.about.mrc7/m-ikeimages.html;www.antibodyresource.com/;mcb.harvard.edu/BioLinks/Immuno-logy.html.www.immunologylink.com/;pathbox.wustl.edu/.about.hcenter/index.-html;www.biotech.ufl.edu/.about.hcl/;www.pebio.com/pa/340913/340913.html-;www.nal.usda.gov/awic/pubs/antibody/;www.m.ehime-u.acjp/.about.yasuhito-/Elisa.html;www.biodesign.com/table.asp;www.icnet.uk/axp/facs/davies/lin-ks.html;www.biotech.ufl.edu/.about.fccl/protocol.html;www.isac-net.org/sites_geo.html;aximtl.imt.uni-marburg.de/.about.rek/AEP-Start.html;baserv.uci.kun.nl/.about.jraats/linksl.html;www.recab.uni-hd.de/immuno.bme.nwu.edu/;www.mrc-cpe.cam.ac.uk/imt-doc/pu-blic/INTRO.html;www.ibt.unam.mx/vir/V_mice.html;imgt.cnusc.fr:8104/;www.biochem.ucl.ac.uk/.about.martin/abs/index.html;antibody.bath.ac.uk/;abgen.cvm.tamu.edu/lab/wwwabgen.html;www.unizh.ch/.about.honegger/AHOsem-inar/Slide01.html;www.cryst.bbk.ac.uk/.about.ubcg07s/;www.nimr.mrc.ac.uk/CC/ccaewg/ccaewg.htm;www.path.cam.ac.uk/.about.mrc7/h-umanisation/TAHHP.html;www.ibt.unam.mx/vir/structure/stat_aim.html;www.biosci.missouri.edu/smithgp/index.html;www.cryst.bioc.cam.ac.uk/.abo-ut.fmolina/Web-pages/Pept/spottech.html; www.jerini.de/fr roducts.htm;www.patents.ibm.com/ibm.html;Kabat等人,Sequences of Proteins of Immunological Interest,U.S.Dept.Health(1983),各者以全文引用的方式併入本文中。該等輸入序列可用於降低免疫原性,或降低、增強或改變結合性、親和力、締合速率、解離速率、親合性(avidity)、特異性、半衰期或如此項技術中所知之任何其他適合特徵。 A humanized antibody is an antibody molecule derived from a non-human species antibody that binds a desired antigen and has one or more complementarity determining regions (CDRs) from a non-human species antibody and a framework region from a human immunoglobulin molecule. Known human Ig sequences are disclosed, for example, at the following global information website: www.ncbi.nlm.nih.gov/entrez-/query.fcgi; www.atcc.org/phage/hdb.html; www.sciquest.com/; www .abcam.com /; www.antibodyresource.com/onlinecomp.html; www.public.iastate.edu/.about.pedro/research_tools.html; www.mgen.uni-heidelberg.de/SD/IT/IT.html; www.whfreeman.com/immunology/CH-05/kuby05.htm; www.library.thinkquest.org/12429/Immune/Antibody.html; www.hhmi.org/grants/lectures/1996/vlab/; www.path.cam.ac.uk/.about.mrc7/m-ikeimages.html; www.antibodyresource.com/; mcb.harvard.edu/BioLinks /Immuno-logy.html.www.immunologylink.com/; pathbox.wustl.edu/.about.hcenter/index.-html; www.biotech.ufl.edu/.about.hcl/; www.pebio.com/ pa / 340913 / 340913.html-; www.nal.usda.gov/awic/pubs/antibody/; www.m.ehime-u.acjp / .about.yasuhito- / Elisa.html; www.biodesign.com/ table.asp; www.icnet.uk/axp/facs/davies/lin-ks.html; www.biotech.ufl.edu/.about.fccl/protocol.html; www.isac-net.org/sites_geo.html ; Aximtl.imt.uni-marburg.de/.about.rek/AEP-Start.html; baserv.uci.kun.nl/.about.jraats/linksl.html; www.recab.uni-hd.de/immuno .bme.nwu.edu /; www.mrc-cpe.cam.ac.uk/imt-doc/pu-blic/INTRO.html; www.ibt.unam.mx/vir/V_mice.html; imgt.cnusc. fr: 8104 /; www.biochem.ucl.ac.uk/.about.martin/abs/index.html antibody.bath.ac.uk/; abgen.cvm.tamu.edu/lab/wwwabgen.html; www.unizh.ch/.about.honegger/AHOsem-inar/Slide01.html; www.cryst.bbk.ac. uk / .about.ubcg07s /; www.nimr.mrc.ac.uk/CC/ccaewg/ccaewg.htm; www.path.cam.ac.uk/.about.mrc7/h-umanisation/TAHHP.html; www .ibt.unam.mx / vir / structure / stat_aim.html; www.biosci.missouri.edu/smithgp/index.html; www.cryst.bioc.cam.ac.uk/.abo-ut.fmolina/Web- pages / Pept / spottech.html; www.jerini.de/fr roducts.htm; www.patents.ibm.com/ibm.html; Kabat et al., Sequences of Proteins of Immunological Interest, USDept.Health (1983), each of which is incorporated by reference in its entirety and Included in this article. Such input sequences can be used to reduce immunogenicity, or to reduce, enhance, or alter binding, affinity, rate of association, rate of dissociation, avidity, specificity, half-life, or any other known in the art Suitable for characteristics.

人類構架區中之構架(FR)殘基可經來自CDR供體抗體之相應殘基取代以改變、較佳改良抗原結合。此等構架取代係由此項技術中所熟知之方法鑑別,例如藉由建立CDR與構架殘基之相互作用模型以鑑別對抗原結合較重要之構架殘基且進行序列比較以鑑別特定位置處之異常構架殘基。參見例如Queen等人,美國專利第5,585,089號;Riechmann等人,Nature 332:323-327(1988),該等文獻以全文引用的方式併入本文中。三維免疫球蛋白模型通常可獲得且為熟習此項技術者所熟知。可獲得說明及呈現選定候選免疫球蛋白序列之可能三維構形結構的電腦程式。對此等呈現之檢視得以分析殘基在候選免疫球蛋白序列發揮功能方面可能起到的作用,亦即分析影響候選免疫球蛋白與其抗原結合之能力的殘基。以此方式,可自共同及輸入序列選擇並組合FR殘基以達成所要抗體特徵,諸如對標靶抗原增加之親和力。一般而言,CDR殘基直接且最實質性地涉及影響抗原結合。可使用此項技術中所知之多種技術對抗體進行人類化,諸如(但不限於)以下文獻中所述之技術:Jones等人,Nature,321:522-525(1986);Verhoeyen等人,Science,239:1534-1536(1988);Sims等人,J.Immunol.,151:2296-2308(1993);Chothia及Lesk,J.Mol.Biol.,196:901-917(1987);Carter等人,Proc.Natl.Acad.Sci.USA,89:4285-4289(1992);Presta等人,J.Immunol.,151:2623-2632(1993);Padlan,Mol.Immunol.,28(4/5):489-498(1991);Studnicka等人,Protein Eng.,7(6): 805-814(1994);Roguska等人,Proc.Natl.Acad.Sci.USA,91:969-973(1994);PCT公開案第WO 91/09967號;第WO 90/14443號;第WO 90/14424號;第WO 90/14430號;第WO 99/06834號(PCT/US98/16280);第WO 97/20032號(PCT/US96/18978);第WO 92/11272號(PCT/US91/09630);第WO 92/03461號(PCT/US91/05939);第WO 94/18219號(PCT/US94/01234);第WO 92/01047號(PCT/GB91/01134);及第WO 93/06213號(PCT/GB92/01755);歐洲專利第EP 0 592 106號;第EP 0 519 596號及第EP 0 239 400號;美國專利第5,565,332號;第5,723,323號;第5,976,862號;第5,824,514號;第5,817,483號;第5,814,476號;第5,763,192號;第5,723,323號;第5,766,886號;第5,714,352號;第6,204,023號;第6,180,370號;第5,693,762號;第5,530,101號;第5,585,089號;第5,225,539號及第4,816,567號,各者以全文引用的方式併入本文中,包括其中所引用之參考文獻。 Framework (FR) residues in the human framework region can be substituted with corresponding residues from a CDR donor antibody to alter, preferably improve, antigen binding. These framework substitutions are identified by methods well known in the art, such as by modeling interactions between CDRs and framework residues to identify framework residues important for antigen binding and performing sequence comparisons to identify specific positions. Abnormal framework residues. See, eg, Queen et al., U.S. Patent No. 5,585,089; Riechmann et al., Nature 332: 323-327 (1988), which are incorporated herein by reference in their entirety. Three-dimensional immunoglobulin models are commonly available and are well known to those skilled in the art. Computer programs are available that illustrate and present probable three-dimensional conformations of selected candidate immunoglobulin sequences. A review of these presentations allowed analysis of the role that residues may play in the functioning of candidate immunoglobulin sequences, that is, residues that affect the ability of a candidate immunoglobulin to bind its antigen. In this way, FR residues can be selected and combined from common and input sequences to achieve desired antibody characteristics, such as increased affinity for the target antigen. In general, CDR residues are directly and most substantially involved in affecting antigen binding. Antibodies can be humanized using a variety of techniques known in the art, such as, but not limited to, those described in the following documents: Jones et al., Nature, 321: 522-525 (1986); Verhoeyen et al., Science, 239: 1534-1536 (1988); Sims et al. , J. Immunol., 151: 2296-2308 (1993); Chothia and Lesk, J. Mol. Biol., 196: 901-917 (1987); Carter Et al., Proc. Natl. Acad. Sci. USA, 89: 4285-4289 (1992); Presta et al. , J. Immunol. , 151: 2623-2632 (1993); Padlan, Mol. Immunol., 28 (4 / 5): 489-498 (1991); Studnicka et al., Protein Eng. , 7 (6): 805-814 (1994); Roguska et al., Proc. Natl. Acad. Sci. USA, 91: 969-973 (1994); PCT Publication No. WO 91/09967; No. WO 90/14443; No. WO 90/14424; No. WO 90/14430; No. WO 99/06834 (PCT / US98 / 16280); No. WO 97/20032 (PCT / US96 / 18978); WO 92/11272 (PCT / US91 / 09630); WO 92/03461 (PCT / US91 / 05939); WO 94/18219 (PCT / US94 / 01234); WO 92/01047 (PCT / GB91 / 01134); and WO 93/06213 (PCT / GB92 / 01755); European Patent No. EP 0 592 106; No. EP 0 519 596 No. and EP 0 239 400; U.S. Patent Nos. 5,565,332; 5,723,323; 5,976,862; 5,824,514; 5,817,483; 5,814,476; 5,763,192; 5,723,323; 5,766,886; 5,714,352 No. 6,204,023; No. 6,180,370; No. 5,693,762; No. 5,530,101; No. 5,585,089; No. 5,225,539 and No. 4,816,567, each of which is incorporated herein by reference in its entirety, including the references cited therein.

5. 抗IL-1β DVD-Ig5. Anti-IL-1β DVD-Ig TMTM 結合蛋白Binding protein

亦提供結合IL-1β之一或多個抗原決定基的雙重可變域免疫球蛋白結合蛋白(DVD-Ig)。DVD-Ig結合蛋白亦可結合IL-1β之抗原決定基及除IL-1β多肽以外之第二標靶抗原之抗原決定基。該等DVD-Ig分子之一例示性實施例包含:包含結構式VD1-(X1)n-VD2-C-(X2)n之重鏈,其中VD1為第一重鏈可變域,VD2為第二重鏈可變域,C為重鏈恆定域,X1為連接子,限制條件為其不為CH1,X2為Fc區,且n為0或1,但較佳為1;及包含結構式VD1-(X1)n-VD2-C-(X2)n之輕鏈,其中VD1為第一輕鏈可變域,VD2為第二輕鏈可變域,C為輕鏈恆定域,X1為連接子,限制條件為其不為CH1,且X2不包含Fc區;且n為0或1,且較佳為1。該DVD-Ig可包含兩個該等重鏈及兩個該等輕鏈,其中各鏈包含串聯連接之可變域,在可變區之間無插入之恆定區,其 中重鏈與輕鏈締合形成兩個串聯之抗原結合位點,且一對重鏈與輕鏈可與另一對重鏈與輕鏈締合形成具有四個抗原結合位點之四聚體結合蛋白。在另一實施例中,DVD-Ig分子可包含各包含串聯連接之三個可變域(例如VD1、VD2、VD3)的重鏈及輕鏈,在可變域之間無插入之恆定區,其中一對重鏈與輕鏈可締合形成三個抗原結合位點,且其中一對重鏈與輕鏈可與另一對重鏈與輕鏈締合形成具有六個抗原結合位點之四聚體結合蛋白。 Dual variable domain immunoglobulin binding proteins (DVD-Ig) that bind to one or more epitopes of IL-1β are also provided. The DVD-Ig binding protein can also bind to the epitope of IL-1β and the epitope of a second target antigen other than the IL-1β polypeptide. An exemplary embodiment of these DVD-Ig molecules includes: a heavy chain including the structural formula VD1- (X1) n-VD2-C- (X2) n, where VD1 is the first heavy chain variable domain and VD2 is the first The variable domain of the double chain, C is the constant domain of the heavy chain, X1 is the linker, with the limitation that it is not CH1, X2 is the Fc region, and n is 0 or 1, but preferably 1; and contains the structural formula VD1- (X1) n-VD2-C- (X2) n light chain, where VD1 is the first light chain variable domain, VD2 is the second light chain variable domain, C is the light chain constant domain, and X1 is the linker, The limiting conditions are that it is not CH1, and X2 does not contain an Fc region; and n is 0 or 1, and preferably 1. The DVD-Ig may include two such heavy chains and two such light chains, wherein each chain includes variable domains connected in series, and there is no constant region inserted between the variable regions. The middle heavy chain and the light chain associate to form two tandem antigen binding sites, and one pair of heavy and light chains can associate with another pair of heavy and light chains to form a tetramer with four antigen binding sites Binding protein. In another embodiment, the DVD-Ig molecule may include a heavy chain and a light chain each including three variable domains (eg, VD1, VD2, VD3) connected in series, with no constant regions inserted between the variable domains, One pair of heavy and light chains can associate to form three antigen-binding sites, and one pair of heavy and light chains can associate with another pair of heavy and light chains to form four with six antigen-binding sites Polymer-binding protein.

DVD-Ig中之各可變域(VD)可獲自結合一或多種所要抗原或抗原決定基(諸如IL-1β及/或IL-1α抗原或抗原決定基)的一或多種「親本」單株抗體。 Each variable domain (VD) in DVD-Ig can be obtained from one or more "parents" that bind one or more desired antigens or epitopes, such as IL-1β and / or IL-1α antigens or epitopes. Monoclonal antibodies.

A. 生成親本單株抗體A. Generation of parental monoclonal antibodies

DVD-Ig結合蛋白之可變域可自能夠結合相關抗原之親本抗體(包括單株抗體(mAb))獲得。此等抗體可天然產生或可藉由重組技術生成。應瞭解若結合所要標靶抗原或抗原決定基之抗體為多株抗體,則仍有必要獲得來自多株群體之單一抗體(亦即多株群體之單一單株成員)之抗原結合位點的可變域,用於生成DVD-Ig。單株抗體可由此項技術中已知之多種方法中的任一者,包括本文所述之彼等方法生成(參見上文部分A.1.-A.4.)。 The variable domain of a DVD-Ig binding protein can be obtained from a parent antibody (including a monoclonal antibody (mAb)) capable of binding the relevant antigen. These antibodies can be produced naturally or by recombinant techniques. It should be understood that if the antibody that binds the desired target antigen or epitope is a multiple strain antibody, it is still necessary to obtain the antigen-binding site of a single antibody from a multiple strain population (that is, a single single member of the multiple strain population). Variable domain for DVD-Ig generation. Monoclonal antibodies can be produced by any of a variety of methods known in the art, including those described herein (see sections A.1.-A.4. Above).

B. 選擇親本單株抗體之準則B. Criteria for selecting parental monoclonal antibodies

本發明之一實施例係關於選擇具有在DVD-Ig分子中所需之至少一或多種性質之親本抗體。在一實施例中,所需性質選自一或多個抗體參數。在另一實施例中,抗體參數係選自由以下組成之群:抗原特異性、與抗原之親和力、效能、生物功能、抗原決定基識別性、穩定性、溶解度、生產效率、免疫原性、藥物動力學、生物可用性、組織交叉反應性及直系同源性抗原結合性。 One embodiment of the present invention relates to the selection of a parent antibody having at least one or more of the properties required in a DVD-Ig molecule. In one embodiment, the desired property is selected from one or more antibody parameters. In another embodiment, the antibody parameter is selected from the group consisting of: antigen specificity, affinity with the antigen, potency, biological function, epitope recognition, stability, solubility, production efficiency, immunogenicity, drug Kinetics, bioavailability, tissue cross-reactivity and orthologous antigen binding.

B1. 對抗原之親和力B1. Affinity to antigen

治療性mAb之所需親和力可取決於抗原之性質及所需治療終點。在一實施例中,因為細胞激素-細胞激素受體相互作用通常為高親和力相互作用(例如<pM-<nM範圍),所以當單株抗體阻斷該相互作用時,單株抗體具有更高親和力(Kd=0.01-0.50pM)。在該等情況下,mAb對於其標靶之親和力應等於或超過細胞激素(配位體)對於其受體之親和力。另一方面,具有較小親和力(>nM範圍)之mAb可例如在清除循環潛在致病蛋白中在治療上為有效的,例如結合、螯合且清除諸如A-β澱粉狀蛋白之標靶抗原之循環物質的單株抗體。在其他情況下,藉由定點突變誘發來降低現有高親和力mAb之親和力或使用對其標靶具有較低親和力之mAb可用於避免潛在副作用,例如高親和力mAb可螯合或中和所有其預定標靶,藉此完全消耗/消除靶向蛋白之功能。在此情況下,低親和力mAb可螯合/中和可能會造成疾病症狀之標靶之一部分(病理性或過度產生之量),因此使得標靶之一部分可繼續執行其正常生理功能。因此,可能會降低Kd以調整劑量及/或降低副作用。親本mAb之親和力可在適當地靶向細胞表面分子以達成所需治療結果中起作用。舉例而言,若標靶以高密度表現於癌細胞上且以低密度表現於正常細胞上,則與正常細胞相比,較低親和力mAb將在腫瘤細胞上結合更大數目之標靶,導致經由ADCC或CDC消除腫瘤細胞,且因此可具有所需治療作用。因此,選擇具有所需親和力之mAb對於可溶性及表面標靶兩者可為相關的。 The required affinity of a therapeutic mAb may depend on the nature of the antigen and the desired treatment endpoint. In one embodiment, because the cytokine-cytokine receptor interaction is usually a high-affinity interaction (e.g., <pM- <nM range), when the monoclonal antibody blocks the interaction, the monoclonal antibody has a higher Affinity (Kd = 0.01-0.50pM). In such cases, the affinity of the mAb for its target should equal or exceed the affinity of the cytokine (ligand) for its receptor. On the other hand, mAbs with smaller affinities (> nM range) can be therapeutically effective, for example, in clearing circulating potentially pathogenic proteins, such as binding, chelating, and removing target antigens such as A-β amyloid Monoclonal antibodies against circulating substances. In other cases, site-directed mutagenesis can be used to reduce the affinity of an existing high-affinity mAb or use a mAb that has a lower affinity for its target can be used to avoid potential side effects, such as a high-affinity mAb can chelate or neutralize all of its intended targets Target, thereby completely depleting / eliminating the function of the targeted protein. In this case, the low-affinity mAb can chelate / neutralize a portion of the target (pathological or excessively produced) that may cause disease symptoms, thus allowing a portion of the target to continue to perform its normal physiological function. Therefore, Kd may be reduced to adjust the dose and / or reduce side effects. The affinity of the parental mAb can play a role in properly targeting cell surface molecules to achieve the desired therapeutic result. For example, if the target is expressed on cancer cells at high density and on normal cells at low density, lower affinity mAb will bind a larger number of targets on tumor cells than normal cells, resulting in Tumor cells are eliminated via ADCC or CDC, and thus may have the desired therapeutic effect. Therefore, selecting a mAb with the desired affinity can be relevant for both soluble and surface targets.

經由受體與其配位體相互作用後之信號傳導可視受體-配位體相互作用之親和力而定。類似地,可以設想mAb對於表面受體之親和力可決定細胞內信號傳導之性質及mAb可傳遞促效信號抑或拮抗信號。mAb介導之信號傳導的基於親和力之性質可影響其副作用概況。因此,治療性單株抗體之所需親和力及所需功能必須藉由活體外及活體內實驗謹慎地測定。 Signaling after the receptor interacts with its ligand depends on the affinity of the receptor-ligand interaction. Similarly, it is envisaged that the affinity of the mAb for surface receptors can determine the nature of intracellular signaling and whether the mAb can transmit a potent signal or an antagonist signal. The affinity-based nature of mAb-mediated signaling can affect its profile of side effects. Therefore, the required affinity and required function of a therapeutic monoclonal antibody must be carefully determined by in vitro and in vivo experiments.

結合蛋白(例如抗體)之所需Kd可視所需治療結果而以實驗方式來測定。在一實施例中,選擇對於特定抗原之親和力(Kd)等於或超過DVD-Ig對於相同抗原之所需親和力的親本抗體。抗原結合親和力及動力學係藉由Biacore或另一類似技術來評估。在一實施例中,各親本抗體具有選自由以下組成之群的與其抗原之解離常數(Kd):至多約10-7M、至多約10-8M、至多約10-9M、至多約10-10M、至多約10-11M、至多約10-12M及至多10-13M。自其獲得VD1之第一親本抗體及自其獲得VD2之第二親本抗體可具有對於相應抗原之類似或不同親和力(KD)。各親本抗體具有如藉由表面電漿子共振所量測之選自由以下組成之群的與抗原之締合速率常數(Kon):至少約102M-1s-1、至少約103M-1s-1、至少約104M-1s-1、至少約105M-1s-1,及至少約106M-1s-1。自其獲得例如VD1之第一親本抗體及自其獲得VD2之第二親本抗體可具有對於相應抗原之類似或不同締合速率常數(Kon)。在一實施例中,各親本抗體具有如藉由表面電漿子共振所量測之選自由以下組成之群的與抗原之解離速率常數(Koff):至多約10-3s-1、至多約10-4s-1、至多約10-5s-1,及至多約10-6s-1。自其獲得VD1之第一親本抗體及自其獲得VD2之第二親本抗體可具有對於相應抗原之類似或不同解離速率常數(Koff)。 The required Kd of a binding protein (eg, an antibody) can be determined experimentally based on the desired treatment result. In one embodiment, a parent antibody is selected that has an affinity (Kd) for a particular antigen that is equal to or exceeds the required affinity of DVD-Ig for the same antigen. Antigen binding affinity and kinetics were evaluated by Biacore or another similar technique. In one embodiment, each parent antibody has a dissociation constant (Kd) with its antigen selected from the group consisting of: at most about 10 -7 M, at most about 10 -8 M, at most about 10 -9 M, at most about 10 -10 M, at most about 10 -11 M, at most about 10 -12 M, and at most 10 -13 M. The first parental antibody from which VD1 is obtained and the second parental antibody from which VD2 is obtained may have similar or different affinities (K D ) to the corresponding antigen. Each parent antibody has an association rate constant (Kon) with an antigen selected from the group consisting of: at least about 10 2 M -1 s -1 , at least about 10 3 as measured by surface plasmon resonance. M -1 s -1 , at least about 10 4 M -1 s -1 , at least about 10 5 M -1 s -1 , and at least about 10 6 M -1 s -1 . The first parental antibody from which, for example, VD1 is obtained, and the second parental antibody from which VD2 is obtained, may have similar or different association rate constants (Kon) for the corresponding antigen. In one embodiment, each parent antibody has a dissociation rate constant (Koff) from an antigen selected from the group consisting of: at most about 10 -3 s -1 , at most, as measured by surface plasmon resonance. About 10 -4 s -1 , at most about 10 -5 s -1 , and at most about 10 -6 s -1 . The first parental antibody from which VD1 is obtained and the second parental antibody from which VD2 is obtained may have similar or different off-rate constants (Koff) for the corresponding antigen.

B2. 效能B2. Effectiveness

親本單株抗體之所需親和力/效能視所需治療結果而定。舉例而言,對於受體-配位體(R-L)相互作用,親和力(kd)等於或超過R-L kd(pM範圍)。對於簡單清除病理性循環蛋白,Kd可在低nM範圍中,例如清除循環A-β肽之各種物質。另外,Kd亦視標靶是否表現同一抗原決定基之多個複本而定,例如靶向Aβ寡聚物中之構形抗原決定基的mAb。 The required affinity / potency of the parental monoclonal antibody depends on the desired treatment outcome. For example, for receptor-ligand (R-L) interactions, the affinity (kd) is equal to or exceeds R-L kd (pM range). For simple clearance of pathological circulating proteins, Kd can be in the low nM range, such as clearing various substances of circulating A-β peptides. In addition, Kd also depends on whether the target exhibits multiple copies of the same epitope, such as mAb that targets conformational epitopes in Aβ oligomers.

在VDI及VD2結合同一抗原但結合不同抗原決定基的情況下, DVD-Ig含有用於同一抗原之結合位點,因此增大親合力且由此增大DVD-Ig之表觀Kd。在一實施例中,選擇具有與DVD-Ig中之所需彼Kd相等或較低之kd的親本抗體。親本mAb之親和力考慮亦可視DVD-Ig是否含有四個或四個以上相同抗原結合位點(亦即DVD-Ig來自單一mAb)而定。在此情況下,表觀kd將由於親合力而大於mAb。該等DVD-Ig可用於交聯表面受體、增大中和效能、增強病理蛋白之清除等。 Where VDI and VD2 bind the same antigen but bind different epitopes, DVD-Ig contains binding sites for the same antigen, thus increasing the affinity and thus the apparent Kd of DVD-Ig. In one embodiment, a parent antibody is selected that has a kd that is equal to or lower than the desired Kd in DVD-Ig. The affinity consideration of the parental mAb may also depend on whether the DVD-Ig contains four or more identical antigen binding sites (ie, the DVD-Ig is from a single mAb). In this case, the apparent kd will be greater than the mAb due to the affinity. These DVD-Igs can be used to cross-link surface receptors, increase neutralization efficacy, and enhance the clearance of pathological proteins.

在另一實施例中,選擇對於特異性抗原之中和效能等於或超過DVD-Ig對於相同抗原之所需中和潛力的親本抗體。中和效能可藉由標靶依賴性生物檢定來評估,其中適當類型之細胞回應於標靶刺激而產生可量測信號(亦即增殖或細胞激素產生),且藉由mAb之標靶中和可以劑量依賴性方式減少信號。 In another embodiment, a parent antibody is selected that has a neutralizing potency against specific antigens that is equal to or exceeds the required neutralization potential of DVD-Ig for the same antigen. Neutralizing efficacy can be assessed by target-dependent bioassays, where appropriate types of cells generate measurable signals (i.e., proliferation or cytokine production) in response to target stimulation, and are neutralized by targets of mAb Signaling can be reduced in a dose-dependent manner.

B3. 生物功能B3. Biological functions

單株抗體可潛在地執行若干功能。此等功能中之一些列於表5中。此等功能可藉由活體外檢定(例如基於細胞之檢定及生物化學檢定)及活體內動物模型來評估。 Monoclonal antibodies can potentially perform several functions. Some of these functions are listed in Table 5. These functions can be evaluated by in vitro assays (such as cell-based assays and biochemical assays) and in vivo animal models.

Figure TWI615405BD00045
Figure TWI615405BD00045

可選擇具有在本文實例中及表5中所述之不同功能的mAb以達成所需治療結果。兩種或兩種以上所選親本單株抗體可隨後以DVD-Ig 形式使用以達成單一DVD-Ig分子中之兩個不同功能。舉例而言,DVD-Ig可藉由選擇中和特定細胞激素(諸如IL-1β)之功能的親本mAb且選擇增強病理蛋白之清除的親本mAb來生成。類似地,可選擇識別兩種不同細胞表面受體之兩種親本mAb,一mAb具有對於一受體之促效功能,且另一mAb具有對於另一受體之拮抗功能。各自具有不同功能之此兩種所選mAb可用於構築在單一分子中擁有所選單株抗體之兩個不同功能(促效劑及拮抗劑)的單一DVD-Ig分子。類似地,細胞表面受體之各自阻斷相應受體配位體(例如EGF及IGF)之結合的兩種拮抗mAb可以DVD-Ig形式使用。相反地,可選擇拮抗性抗受體mAb(例如抗EGFR)及中和性抗可溶性介體(例如抗IGF1/2)mAb以製得DVD-Ig。 MAbs with different functions described in the examples herein and in Table 5 can be selected to achieve the desired therapeutic results. Two or more selected parental monoclonal antibodies can then be used as DVD-Ig The form is used to accomplish two different functions in a single DVD-Ig molecule. For example, DVD-Ig can be generated by selecting a parental mAb that neutralizes the function of a particular cytokine (such as IL-1β) and selecting a parental mAb that enhances the clearance of pathological proteins. Similarly, two parental mAbs can be selected that recognize two different cell surface receptors, one mAb having a potentiating function against one receptor and the other mAb having an antagonistic function against another receptor. These two selected mAbs, each with different functions, can be used to construct a single DVD-Ig molecule with two different functions (agonists and antagonists) of the selected monoclonal antibody in a single molecule. Similarly, two antagonistic mAbs, each of which is a cell surface receptor that blocks the binding of the corresponding receptor ligands (eg, EGF and IGF), can be used in the form of DVD-Ig. Conversely, an antagonistic anti-receptor mAb (e.g., anti-EGFR) and a neutralizing anti-soluble mediator (e.g., anti-IGF1 / 2) mAb can be selected to make DVD-Ig.

B4. 抗原決定基識別:B4. Epitope recognition:

蛋白質之不同區域可執行不同功能。舉例而言,細胞激素(諸如IL-1β)之特定區域與細胞激素受體相互作用以引起受體活化,而蛋白質之其他區域可為使細胞激素穩定化所需。在此情況下,可選擇特異性結合於細胞激素上之受體相互作用區域且藉此阻斷細胞激素-受體相互作用之mAb。在一些情況下,例如結合多個配位體之某些趨化因子受體的情況下,可選擇結合於僅與一配位體相互作用之抗原決定基(趨化因子受體上之區域)的mAb。在其他情況下,單株抗體可結合於標靶上不直接負責蛋白質之生理功能的抗原決定基,但mAb與此等區域之結合可干擾蛋白質之生理功能(位阻)或改變蛋白質之構形以致蛋白質不能起作用(具有多個配位體之受體之mAb改變受體構形以使得任何一個配位體皆不可結合)。亦已鑑別不阻斷細胞激素與其受體之結合,但阻斷信號轉導之抗細胞激素單株抗體(例如125-2H,一種抗IL-18 mAb)。 Different regions of the protein can perform different functions. For example, specific regions of a cytokine (such as IL-1β) interact with cytokine receptors to cause receptor activation, while other regions of the protein may be required to stabilize cytokines. In this case, a mAb that specifically binds to a receptor interaction region on a cytokine and thereby blocks the cytokine-receptor interaction can be selected. In some cases, for example, in the case of certain chemokine receptors that bind to multiple ligands, they may choose to bind to an epitope (region on the chemokine receptor) that interacts with only one ligand MAb. In other cases, monoclonal antibodies can bind to epitopes on the target that are not directly responsible for the physiological function of the protein, but the binding of the mAb to these regions can interfere with the physiological function (steric hindrance) of the protein or change the configuration of the protein So that the protein cannot function (the mAb of a receptor with multiple ligands changes the configuration of the receptor so that no one ligand can bind). Anti-cytokine monoclonal antibodies (eg, 125-2H, an anti-IL-18 mAb) that do not block the binding of cytokines to their receptors but block signal transduction have also been identified.

抗原決定基及mAb功能之實例包括(但不限於)阻斷受體-配位體(R-L)相互作用(結合R相互作用位點之中和性mAb);導致R結合減少 或無R結合之位阻。抗體可在除受體結合位點以外之位點處結合標靶,但仍藉由誘導構形變化及消除功能(例如XOLAIR®奧馬珠單抗(omalizumab),Genetech/Novartis)、結合於R但阻斷信號傳導(125-2H mAb)而干擾受體結合及標靶之功能。 Examples of epitope and mAb functions include, but are not limited to, blocking receptor-ligand (R-L) interactions (binding to neutralizing mAb at R interaction sites); resulting in reduced R binding Or without steric hindrance of R binding. Antibodies can bind to targets at sites other than the receptor binding site, but still induce conformational changes and eliminate functions (e.g. XOLAIR® omalizumab, Genetech / Novartis), bind to R but Blocks signalling (125-2H mAb) and interferes with receptor binding and target function.

在一實施例中,親本mAb需要靶向適當抗原決定基以獲得最大功效。該抗原決定基應在DVD-Ig中為保守的。mAb之結合抗原決定基可藉由若干方法測定,包括共結晶學、mAb-抗原複合物之有限蛋白水解加上質譜分析肽定位(Legros等人,Protein Sci.,9:1002-1010(2000))、噬菌體呈現肽文庫(O'Connor等人,J.Immunol.Methods.,299:21-35(2005))以及突變誘發(Wu C.等人,J.Immunol.,170:5571-5577(2003))。 In one embodiment, the parental mAb needs to target the appropriate epitope for maximum efficacy. This epitope should be conserved in DVD-Ig. The binding epitope of mAb can be determined by several methods, including co-crystallization, limited proteolysis of mAb-antigen complexes, and peptide localization by mass spectrometry (Legros et al., Protein Sci., 9: 1002-1010 (2000) ), Phage-presenting peptide library (O'Connor et al. , J. Immunol. Methods., 299: 21-35 (2005)) and mutation induction (Wu C. et al. , J. Immunol. , 170: 5571-5577 ( 2003)).

B5. 物理化學及醫藥性質B5. Physical Chemistry and Pharmaceutical Properties

藉由抗體之治療性處理通常需要投與高劑量,通常為若干mg/kg(歸因於由通常大分子量造成的以質量計之低效能)。為適應患者順應性及充分地投入長期疾病療法及門診治療,治療性mAb之皮下(s.c.)或肌肉內(i.m.)投與合乎需要。舉例而言,皮下投與之最大所需體積為約1.0mL,且因此需要>100mg/mL之濃度以限制每劑量之注射數目。在一實施例中,以單劑量方式投與治療性抗體。然而,該等調配物之開發受蛋白質-蛋白質相互作用(例如,潛在地增加免疫原性風險之聚集)制約且受處理及傳遞期間之限制(例如黏度)制約。因此,臨床功效所需之較大數量及相關開發制約因素限制了對於抗體調配物之潛力及高劑量方案中之皮下投與的完全利用。顯然蛋白質分子及蛋白質溶液之物理化學及醫藥性質非常重要,例如穩定性、溶解度及黏度特徵。 Therapeutic treatment with antibodies often requires the administration of high doses, usually a few mg / kg (due to the low potency by mass due to the usually large molecular weight). In order to adapt to patient compliance and fully invest in long-term disease therapy and outpatient treatment, subcutaneous (s.c.) or intramuscular (i.m.) administration of therapeutic mAb is desirable. For example, the maximum required volume for subcutaneous administration is about 1.0 mL, and therefore a concentration of> 100 mg / mL is needed to limit the number of injections per dose. In one embodiment, the therapeutic antibody is administered in a single dose. However, the development of these formulations is constrained by protein-protein interactions (e.g., aggregation that potentially increases the risk of immunogenicity) and by constraints (e.g., viscosity) during processing and delivery. Therefore, the large number of clinical efficacy and related development constraints limit the potential for antibody formulations and the full utilization of subcutaneous administration in high-dose regimens. Obviously, the physicochemical and pharmaceutical properties of protein molecules and protein solutions are very important, such as stability, solubility and viscosity characteristics.

B5.1. 穩定性B5.1. Stability

「穩定」抗體調配物為其中之抗體在儲存後基本上保留其物理穩 定性及/或化學穩定性及/或生物活性之調配物。穩定性可在所選溫度下持續所選時段而量測。在一實施例中,調配物中之抗體在室溫(約30℃)下或在40℃下穩定至少1個月且/或在約2-8℃下穩定至少1年,例如至少2年。此外,在一實施例中,調配物在該調配物冷凍(至例如-70℃)及解凍(下文稱為「冷凍/解凍循環」)之後穩定。在另一實例中,「穩定」調配物可為少於約10%且少於約5%之蛋白質以聚集體形式存在於調配物中的調配物。 A `` stable '' antibody formulation is one in which the antibody essentially retains its physical stability after storage Qualitative and / or chemically stable and / or biologically active formulations. Stability can be measured at a selected temperature for a selected period of time. In one embodiment, the antibody in the formulation is stable at room temperature (about 30 ° C) or at 40 ° C for at least 1 month and / or at about 2-8 ° C for at least 1 year, such as at least 2 years. Furthermore, in one embodiment, the formulation is stable after the formulation is frozen (to, for example, -70 ° C) and thawed (hereinafter referred to as a "freeze / thaw cycle"). In another example, a "stable" formulation may be a formulation in which less than about 10% and less than about 5% of the protein is present in the formulation as an aggregate.

在活體外在各種溫度下穩定持續延長時段之DVD-Ig合乎需要。可藉由快速篩選在活體外在高溫(例如40℃)下穩定2-4週之親本mAb且隨後評估穩定性來達成此目的。在2-8℃下儲存期間,蛋白質顯示穩定性持續至少12個月,例如至少24個月。可使用各種技術評估穩定性(單體、完整分子之%),諸如陽離子交換層析、尺寸排阻層析、SDS-PAGE以及生物活性測試。關於可用於分析共價及構形修飾之分析技術的更全面清單,參見Jones,A.J.S.,「Analytical methods for the assessment of protein formulations and delivery systems」,第2章,Formulation and delivery of peptides and proteins,第1版,(Cleland及Langer編)(American Chemical Society,Washington,D.C.,1994)第22-45頁;及Pearlman及Nguyen,「Analysis of Protein drugs」,第6章,Peptide and protein drug delivery,第1版[Advances in Parenteral Sciences,第4卷](Lee,V.H.編)(Marcel Dekker,Inc.,New York,1991)第247-301頁。 DVD-Ig that is stable in vitro at various temperatures for extended periods of time is desirable. This can be achieved by rapid screening of parental mAbs that are stable in vitro at elevated temperatures (e.g., 40 ° C) for 2-4 weeks and then assessing stability. During storage at 2-8 ° C, the protein shows stability for at least 12 months, such as at least 24 months. Various techniques can be used to assess stability (monomer,% of intact molecules), such as cation exchange chromatography, size exclusion chromatography, SDS-PAGE, and bioactivity testing. For a more comprehensive list of analytical techniques that can be used to analyze covalent and conformational modifications, see Jones, AJS, "Analytical methods for the assessment of protein formulations and delivery systems", Chapter 2, Formulation and delivery of peptides and proteins , Section 1st edition, (ed. Cleland and Langer) (American Chemical Society, Washington, DC, 1994) pages 22-45; and Pearlman and Nguyen, "Analysis of Protein drugs", Chapter 6, Peptide and protein drug delivery , 1 Edition [Advances in Parenteral Sciences, Volume 4] (Lee, VH) (Marcel Dekker, Inc., New York, 1991) pp. 247-301.

非均質性及聚集體形成:抗體之穩定性可使得調配物可顯示少於約10%,且在一實施例中少於約5%,在另一實施例中少於約2%,或在一實施例中在0.5%至1.5%或1.5%以下範圍內的以聚集體形式存在之GMP抗體物質。尺寸排阻層析在偵測蛋白質聚集體中為較敏感、可重現且極穩定之方法。 Heterogeneity and aggregate formation: The stability of the antibody can allow the formulation to show less than about 10%, and in one embodiment less than about 5%, in another embodiment less than about 2%, or in In one embodiment, the GMP antibody substance exists in the form of an aggregate in a range of 0.5% to 1.5% or less. Size exclusion chromatography is a sensitive, reproducible, and extremely stable method for detecting protein aggregates.

除低聚集體含量之外,抗體在一實施例中必須具化學穩定性。化學穩定性可藉由離子交換層析(例如陽離子或陰離子交換層析)、疏水性相互作用層析或其他方法(諸如等電聚焦或毛細電泳)來測定。舉例而言,抗體之化學穩定性可使得在2-8℃下儲存至少12個月之後,與在儲存測試之前之抗體溶液相比,陽離子交換層析中之代表性未修飾抗體之峰值可增大不超過20%,在一實施例中不超過10%,或在另一實施例中不超過5%。 In addition to low aggregate content, antibodies must be chemically stable in one embodiment. Chemical stability can be determined by ion exchange chromatography (such as cation or anion exchange chromatography), hydrophobic interaction chromatography, or other methods (such as isoelectric focusing or capillary electrophoresis). For example, the chemical stability of antibodies can increase the peak value of representative unmodified antibodies in cation exchange chromatography after storage at 2-8 ° C for at least 12 months compared to the antibody solution before the storage test. Not more than 20%, not more than 10% in one embodiment, or not more than 5% in another embodiment.

在一實施例中,親本抗體展示結構完整性;恰當的二硫鍵形成,及恰當的摺疊:歸因於抗體之二級或三級結構之變化的化學不穩定性可影響抗體活性。舉例而言,如抗體之活性所指示之穩定性可使得在2-8℃儲存至少12個月之後,與在儲存測試之前之抗體溶液相比,抗體之活性可減小不超過50%,在一實施例中不超過30%,或甚至不超過10%,或在一實施例中不超過5%或1%。適合之抗原結合檢定可用於測定抗體活性。 In one embodiment, the parent antibody displays structural integrity; proper disulfide bond formation, and proper folding: chemical instability due to changes in the secondary or tertiary structure of the antibody can affect antibody activity. For example, the stability indicated by the activity of the antibody can be such that after storage at 2-8 ° C for at least 12 months, the activity of the antibody can be reduced by no more than 50% compared to the antibody solution before the storage test. No more than 30%, or even no more than 10%, or no more than 5% or 1% in one embodiment. Suitable antigen binding assays can be used to determine antibody activity.

B5.2. 溶解度B5.2. Solubility

mAb之「溶解度」與正確摺疊之單體IgG的產生有關。因此可藉由HPLC評估IgG之溶解度。舉例而言,可溶性(單體)IgG將在HPLC層析譜上產生單個峰值,而不可溶性(例如多聚及聚集)IgG將產生複數個峰值。熟習此項技術者因此將能夠使用常規HPLC技術偵測IgG溶解度的增大或減小。關於可用於分析溶解度之分析技術的更全面清單,參見Jones,A.G.,Dep.Chem.Biochem.Eng.,Univ.Coll.London,「Particle formation and separation in suspension crystallization processes」,第4章,Process.Solid-Liquid Suspensions,(P.Ayazi Shamlou編)(Butterworth-Heinemann,Oxford,UK,1993)第93-117頁;及Pearlman及Nguyen,「Analysis of protein drugs」,第6章,Peptide and protein drug delivery,第1版[Advances in Parenteral Sciences,第4卷](Lee,V.H.編)(Marcel Dekker,Inc.,New York,1991)第247-301頁。治療性mAb之溶解度對於調配成常為足夠給藥所需之高濃度而言為關鍵的。如本文中概述,可能需要大於100mg/mL之溶解度以提供有效抗體給藥。舉例而言,抗體溶解度在早期研究階段可能不小於約5mg/mL,在一實施例中,在高級過程科學階段可能不小於約25mg/mL,或在一實施例中,可能不小於約100mg/mL,或在一實施例中,可能不小於約150mg/mL。蛋白質分子之固有性質對於蛋白質溶液之物理化學性質(例如穩定性、溶解度、黏度)為重要的。然而,熟習此項技術者應瞭解存在多種可用作添加劑以有利地影響最終蛋白質調配物之特徵的賦形劑。此等賦形劑可包括:(i)液體溶劑、共溶劑(例如醇類,諸如乙醇);(ii)緩衝劑(例如磷酸鹽、乙酸鹽、檸檬酸鹽、胺基酸緩衝劑);(iii)糖或糖醇(例如蔗糖、海藻糖、果糖、棉子糖、甘露糖醇、山梨糖醇、聚葡萄糖);(iv)界面活性劑(例如聚山梨醇酯20、聚山梨醇酯40、聚山梨醇酯60、聚山梨醇酯80、泊洛沙姆(poloxamer));(v)等張性調節劑(例如,諸如NaCl之鹽、糖、糖醇);及(vi)其他賦形劑(例如防腐劑、螯合劑、抗氧化劑、螯合物質(例如EDTA)、生物可降解聚合物、載劑分子(例如HSA、PEG)。 The "solubility" of mAb is related to the production of properly folded monomeric IgG. So the solubility of IgG can be evaluated by HPLC. For example, soluble (monomeric) IgG will generate a single peak on the HPLC chromatogram, while insoluble (e.g., multimerization and aggregation) IgG will generate multiple peaks. Those skilled in the art will therefore be able to detect increases or decreases in the solubility of IgG using conventional HPLC techniques. For a more comprehensive list of analytical techniques that can be used to analyze solubility, see Jones, AG, Dep. Chem. Biochem. Eng., Univ. Coll. London, "Particle formation and separation in suspension crystallization processes", Chapter 4, Process. Solid-Liquid Suspensions, (edited by P. Ayazi Shamlou) (Butterworth-Heinemann, Oxford, UK, 1993) pp. 93-117; and Pearlman and Nguyen, "Analysis of protein drugs", Chapter 6, Peptide and protein drug delivery , 1st edition [Advances in Parenteral Sciences, Volume 4] (Lee, VH) (Marcel Dekker, Inc., New York, 1991) pp. 247-301. The solubility of a therapeutic mAb is critical to formulating the high concentration that is often required for adequate administration. As outlined herein, a solubility of greater than 100 mg / mL may be required to provide effective antibody administration. For example, the solubility of the antibody may be not less than about 5 mg / mL in the early research stage, in one embodiment, not less than about 25 mg / mL in the advanced process science stage, or in one embodiment, not less than about 100 mg / mL. mL, or in one embodiment, may not be less than about 150 mg / mL. The intrinsic properties of protein molecules are important to the physicochemical properties (eg, stability, solubility, viscosity) of the protein solution. However, those skilled in the art will appreciate that there are a variety of excipients that can be used as additives to favorably affect the characteristics of the final protein formulation. Such excipients may include: (i) liquid solvents, co-solvents (e.g. alcohols such as ethanol); (ii) buffering agents (e.g. phosphate, acetate, citrate, amino acid buffers); ( iii) sugar or sugar alcohols (e.g. sucrose, trehalose, fructose, raffinose, mannitol, sorbitol, polydextrose); (iv) surfactants (e.g. polysorbate 20, polysorbate 40 , Polysorbate 60, polysorbate 80, poloxamer); (v) isotonicity modifiers (e.g., salts such as NaCl, sugars, sugar alcohols); and (vi) other additives Excipients (e.g. preservatives, chelating agents, antioxidants, chelating substances (e.g. EDTA), biodegradable polymers, carrier molecules (e.g. HSA, PEG).

黏度為關於抗體製造及抗體處理(例如透濾/超濾)、填充-精整過程(泵送態樣、過濾態樣)及傳遞態樣(可注射性、複雜裝置傳遞)之非常重要之參數。低黏度使具有較高濃度之抗體的液體溶液成為可能。此使得相同劑量可以較小體積投與。較小注射體積擁有注射時較低疼痛感之優勢,且溶液未必需要具有等滲性以減小患者注射時之疼痛。抗體溶液之黏度可使得在100(1/s)之剪切速率下,抗體溶液黏度低於200mPa s,在一實施例中低於125mPa s,在另一實施例中低於70mPa s,且在另一實施例中低於25mPa s或甚至低於10mPa s。 Viscosity is a very important parameter for antibody manufacturing and antibody processing (e.g. diafiltration / ultrafiltration), filling-finishing process (pumping mode, filtering mode), and delivery mode (injectability, complex device delivery) . Low viscosity makes liquid solutions with higher concentrations of antibodies possible. This allows the same dose to be administered in a smaller volume. Smaller injection volumes have the advantage of lower pain during injection, and the solution does not necessarily need to be isotonic to reduce pain during injection. The viscosity of the antibody solution can be such that the viscosity of the antibody solution is less than 200 mPa s at a shear rate of 100 (1 / s), less than 125 mPa s in one embodiment, and less than 70 mPa s in another embodiment, and In another embodiment it is below 25 mPa s or even below 10 mPa s.

B5.3. 生產效率B5.3. Production efficiency

有效地表現於哺乳動物細胞(諸如中國倉鼠卵巢細胞(CHO))中之DVD-Ig之生成在一實施例中需要本身有效地表現於哺乳動物細胞中之兩種親本單株抗體。自穩定哺乳動物株(亦即CHO)之生產率應高於約0.5g/L以上,在一實施例中高於約1g/L以上,且在另一實施例中在約2g/L至約5g/L或約5g/L以上之範圍內(Kipriyanov等人,Mol.Biotechnol.,12:173-201(1999);Carroll等人,Expert Opin Biol Ther.,4:1821-1829(2004))。 The production of DVD-Ig that is effectively expressed in mammalian cells, such as Chinese Hamster Ovary Cells (CHO), requires, in one embodiment, two parental monoclonal antibodies that are themselves effective in mammalian cells. The productivity of a self-stabilizing mammalian strain (i.e., CHO) should be above about 0.5 g / L, in one embodiment above about 1 g / L, and in another embodiment between about 2 g / L and about 5 g / L L or about 5 g / L or more (Kipriyanov et al . , Mol . Biotechnol. , 12: 173-201 (1999); Carroll et al., Expert Opin Biol Ther. , 4: 1821-1829 (2004)).

抗體及Ig融合蛋白在哺乳動物細胞中之產生受若干因素的影響。經由併入強啟動子、強化子及選擇標記來工程改造表現載體可使相關基因自經整合之載體複本之轉錄最大化。允許高水準基因轉錄之載體整合位點之鑑別可加強自載體之蛋白質表現(Wurm,F.M.,Nature Biotechnol.,22(11):1393-1398(2004))。此外,產生量受抗體重鏈與輕鏈之比率及蛋白質組裝及分泌之過程中之各種步驟的影響(Jiang等人,Biotechnol.Prog.,22(1):313-318(2006))。 The production of antibodies and Ig fusion proteins in mammalian cells is affected by several factors. Engineered expression vectors by incorporating strong promoters, enhancers and selectable markers can maximize the transcription of related genes from an integrated vector copy. Identification of vector integration sites that allow high-level gene transcription can enhance protein expression from the vector (Wurm, FM, Nature Biotechnol. , 22 (11): 1393-1398 (2004)). In addition, the amount of production is affected by the ratio of antibody heavy chains to light chains and various steps in the process of protein assembly and secretion (Jiang et al., Biotechnol. Prog. , 22 (1): 313-318 (2006)).

B6. 免疫原性B6. Immunogenicity

治療性mAb之投與可導致免疫反應之特定發生(亦即針對治療性mAb之內源性抗體之形成)。可誘導免疫原性之潛在要素應在選擇親本單株抗體期間分析,且可在DVD-Ig構築之前採取降低該風險之步驟以最佳化親本單株抗體。已發現源自小鼠之抗體在患者中具高免疫原性。包含小鼠可變區及人類恆定區之嵌合抗體之生成呈現降低治療性抗體之免疫原性的合乎邏輯之下一步驟(Morrison及Schlom,「Recombinant Chimeric Monoclonal Antibodies」,第1章,Important Advances in Oncology 1990(J.B.Lippincott Company,Philadelphia,1990)第3-18頁)。或者,如由Riechmann等人,Nature,332:323-327(1988)關於治療性抗體所描述,可藉由將鼠類CDR序列轉移至人類抗體構架中(重構(reshaping)/CDR移植/人類化)來降低免疫原性。另一方 法係稱作「表面重塑」或「鑲飾」,以齧齒動物可變輕鏈及重鏈域為起始,僅將表面可及之構架胺基酸變為人類之構架胺基酸,而CDR及內埋之胺基酸仍來自親本齧齒動物抗體(Roguska等人,Protein Eng.,9(10):895-904(1996))。在另一類型之人類化中,並非移植整個CDR,一技術僅移植「特異性決定區」(SDR),其定義為涉及抗體與其標靶之結合之CDR殘基的子集(Kashmiri等人,Methods,36(1):25-34(2005))。此需要經由分析抗體-標靶複合物之可用三維結構或對抗體CDR殘基進行突變分析以測定何者與標靶相互作用來鑑別SDR。或者,與鼠類、嵌合或人類化抗體相比,完全人類抗體可具有降低之免疫原性。 The administration of a therapeutic mAb can lead to a specific occurrence of an immune response (ie, the formation of endogenous antibodies against the therapeutic mAb). Potential elements that can induce immunogenicity should be analyzed during selection of parental monoclonal antibodies, and steps to reduce this risk can be taken to optimize parental monoclonal antibodies before DVD-Ig construction. Mouse-derived antibodies have been found to be highly immunogenic in patients. The next step in the generation of chimeric antibodies comprising mouse variable regions and human constant regions presents a reduction in the immunogenicity of therapeutic antibodies (Morrison and Schlom, "Recombinant Chimeric Monoclonal Antibodies", Chapter 1, Important Advances in Oncology 1990 (JBLippincott Company, Philadelphia, 1990) pp. 3-18). Alternatively, as described by Riechmann et al., Nature , 332: 323-327 (1988) on therapeutic antibodies, the murine CDR sequences can be transferred into the human antibody framework (reshaping / CDR grafting / human ) To reduce immunogenicity. Another method is called "surface remodeling" or "decoration", starting with rodent variable light and heavy chain domains, and changing only surface accessible framework amino acids into human framework amino acids The CDRs and embedded amino acids are still derived from the parent rodent antibody (Roguska et al., Protein Eng. , 9 (10): 895-904 (1996)). In another type of humanization, instead of transplanting the entire CDR, one technique transplants only the "specificity determining region" (SDR), which is defined as a subset of CDR residues involved in the binding of an antibody to its target (Kashmiri et al., Methods, 36 (1): 25-34 (2005)). This requires identifying SDRs by analyzing the available three-dimensional structure of the antibody-target complex or performing mutation analysis on the antibody CDR residues to determine which interacts with the target. Alternatively, fully human antibodies may have reduced immunogenicity compared to murine, chimeric, or humanized antibodies.

降低治療性抗體之免疫原性之另一方法為消除預測具免疫原性之某些特定序列。在一方法中,在第一代生物製劑已於人類中測試且發現具有不可接受之免疫原性後,可將B細胞抗原決定基定位且隨後改變以避免免疫偵測。另一方法使用預測且移除潛在T細胞抗原決定基之方法。已開發計算方法以掃描且鑑別具有結合MHC蛋白之潛力之生物治療劑的肽序列(Desmet等人,Proteins,58:53-69(2005))。或者,基於人類樹突狀細胞之方法可用於鑑別潛在蛋白質過敏原中之CD4+ T細胞抗原決定基(Stickler等人,J.Immunother.,23:654-660(2000);Morrison及Schlom,Important Adv.Oncol.(1990)第3-18頁;Riechmann等人,「Reshaping human antibodies for therapy」,Nature.332:323-327(1988);Roguska等人,「A comparison of two murine mAbs humanized by CDR-grafting and variable domain resurfacing」,Protein Eng.,9:895-904(1996);Kashmiri等人,「SDR grafting--a new approach to antibody humanization」,Methods,36(1):25-34(2005);Desmet等人,「Anchor profiles of HLA-specific peptides:analysis by a novel affinity scoring method and experimental validation」,Proteins, 58:53-69(2005);Stickler等人,「CD4+ T-cell epitope determination using unexposed human donor peripheral blood mononuclear cells」,J.Immunother.,23:654-660(2000))。 Another way to reduce the immunogenicity of therapeutic antibodies is to eliminate certain sequences that are predicted to be immunogenic. In one approach, after the first-generation biologics have been tested in humans and found to have unacceptable immunogenicity, B-cell epitopes can be localized and subsequently altered to avoid immune detection. Another method uses a method that predicts and removes potential T-cell epitopes. Computational methods have been developed to scan and identify peptide sequences of biotherapeutic agents with the potential to bind MHC proteins (Desmet et al., Proteins, 58: 53-69 (2005)). Alternatively, human dendritic cell-based methods can be used to identify CD4 + T cell epitopes in potential protein allergens (Stickler et al., J. Immunother., 23: 654-660 (2000); Morrison and Schlom, Important Adv. Oncol. (1990) pp. 3-18; Riechmann et al., "Reshaping human antibodies for therapy", Nature. 332: 323-327 (1988); Roguska et al., "A comparison of two murine mAbs humanized by CDR -grafting and variable domain resurfacing ", Protein Eng. , 9: 895-904 (1996); Kashmiri et al.," SDR grafting--a new approach to antibody humanization ", Methods, 36 (1): 25-34 (2005 ); Desmet et al., "Anchor profiles of HLA-specific peptides: analysis by a novel affinity scoring method and experimental validation", Proteins, 58: 53-69 (2005); Stickler et al., "CD4 + T-cell epitope determination using unexposed human donor peripheral blood mononuclear cells ", J. Immunother., 23: 654-660 (2000)).

B7. 活體內功效B7. In vivo efficacy

為生成具有所需活體內功效之DVD-Ig分子,當以組合形式提出時,其重要性在於生成且選擇具有類似所需活體內功效之mAb。然而,在一些情況下,DVD-Ig可展現不能藉由兩個獨立mAb之組合達成之活體內功效。舉例而言,DVD-Ig可使得兩個標靶緊密鄰近,產生由兩個獨立mAb之組合不能達成之活性。其他合乎需要之生物功能在本文中在B3部分中描述。可基於諸如藥物動力學半衰期(t½)、組織分佈、可溶量相對於細胞表面標靶,及標靶濃度-可溶量/密度-表面之因素來選擇具有DVD-Ig分子中之所需特徵之親本抗體。 In order to generate a DVD-Ig molecule with the desired in vivo efficacy, when presented in combination, its importance is to generate and select a mAb with similar desired in vivo efficacy. However, in some cases, DVD-Ig can exhibit in vivo efficacy that cannot be achieved by a combination of two independent mAbs. For example, DVD-Ig can bring two targets in close proximity, resulting in an activity that cannot be achieved by a combination of two independent mAbs. Other desirable biological functions are described herein in Section B3 . Selection of the characteristics required for a DVD-Ig molecule can be based on factors such as pharmacokinetic half-life (t½), tissue distribution, soluble amount relative to the cell surface target, and target concentration-soluble amount / density-surface Parent antibody.

B8. 活體內組織分佈B8. Tissue distribution in vivo

為生成具有所需活體內組織分佈之DVD-Ig分子,在一實施例中,必須選擇具有類似所需活體內組織分佈概況之親本mAb。或者,基於雙重特異性靶向策略之機制,在其他時候當以組合形式提出時,可能不需要選擇具有類似所需活體內組織分佈之親本mAb。舉例而言,在DVD-Ig之情況下,其中一個結合組分將DVD-Ig靶向輸送至特定位點,由此將第二結合組分引至同一標靶位點。舉例而言,DVD-Ig之一結合特異性可靶向胰臟(胰島細胞)且另一特異性可將GLP1引至胰臟,以誘導胰島素。 In order to generate a DVD-Ig molecule with a desired in vivo tissue distribution, in one embodiment, a parent mAb with a similar desired in vivo tissue distribution profile must be selected. Alternatively, based on a mechanism based on a dual specific targeting strategy, at other times when presented in combination, it may not be necessary to select a parent mAb with a similar desired tissue distribution in vivo. For example, in the case of DVD-Ig, one of the binding components targets the DVD-Ig to a specific site, thereby directing the second binding component to the same target site. For example, one of the binding specificities of DVD-Ig can target the pancreas (islet cells) and the other specificity can direct GLP1 to the pancreas to induce insulin.

B9. 同型B9. Isotype

為生成具有包括(但不限於)同型、效應功能及循環半衰期之所需性質之DVD-Ig分子,選擇視治療效用及所需治療終點而具有適當Fc效應功能之親本mAb。存在五個主要重鏈種類或同型(其中一些具有若干子型)且此等決定抗體分子之效應功能。此等效應功能存在於抗 體分子之鉸鏈區、CH2及CH3域中。然而,抗體分子之其他部分中之殘基亦可對效應功能有影響。鉸鏈區Fc效應功能包括:(i)抗體依賴性細胞毒性(ADCC)、(ii)補體(C1q)結合、活化及補體依賴性細胞毒性(CDC)、(iii)抗原-抗體複合物之吞噬作用/清除及(iv)在一些情況下之細胞激素釋放。抗體分子之此等Fc效應功能經由Fc區與一組種類特異性細胞表面受體之相互作用來介導。IgG1同型之抗體最具活性,而IgG2及IgG4具有最少或無效應功能。IgG抗體之效應功能經由與三個在結構上同源的細胞Fc受體類型(及子型)(FcgR1、FcgRII及FcgRIII)之相互作用來介導。IgG1之此等效應功能可藉由將下部鉸鏈區中為FcgR及C1q結合所需之特定胺基酸殘基突變(例如L234A、L235A)來消除。Fc區、尤其CH2-CH3域中之胺基酸殘基亦決定抗體分子之循環半衰期。此Fc功能經由Fc區與新生兒Fc受體(FcRn)之結合來介導,該新生兒Fc受體負責抗體分子自酸性溶酶體再循環回至周身循環。 In order to generate a DVD-Ig molecule having desired properties including, but not limited to, isotype, effector function, and circulatory half-life, a parent mAb with appropriate Fc effector function is selected depending on the therapeutic utility and the desired therapeutic endpoint. There are five major heavy chain species or isotypes (some of which have several subtypes) and these determine the effector function of the antibody molecule. These effector functions exist in anti- Body molecules in the hinge region, CH2 and CH3 domains. However, residues in other parts of the antibody molecule can also affect effector functions. Hinge region Fc effector functions include: (i) antibody-dependent cytotoxicity (ADCC), (ii) complement (C1q) binding, activation and complement-dependent cytotoxicity (CDC), and (iii) phagocytosis of antigen-antibody complexes / Clearance and (iv) cytokine release in some cases. These Fc effector functions of antibody molecules are mediated through the interaction of the Fc region with a set of species-specific cell surface receptors. IgG1 isotype antibodies are the most active, while IgG2 and IgG4 have minimal or no effect. The effector functions of IgG antibodies are mediated through interactions with three structurally homologous cellular Fc receptor types (and subtypes) (FcgR1, FcgRII, and FcgRIII). These effector functions of IgG1 can be eliminated by mutating specific amino acid residues (such as L234A, L235A) in the lower hinge region required for FcgR and C1q binding. The amino acid residues in the Fc region, especially in the CH2-CH3 domain, also determine the circulating half-life of the antibody molecule. This Fc function is mediated by the binding of the Fc region to the neonatal Fc receptor (FcRn), which is responsible for the recycling of antibody molecules from acid lysosomes back to the whole body cycle.

mAb是具有活性或是非活性同型取決於抗體之所需治療終點。同型之使用及所需治療結果之一些實例列於以下:1.若所需終點為可溶性細胞激素之功能中和,則可使用非活性同型;2.若所需結果為清除病理蛋白,則可使用活性同型;3.若所需結果為清除蛋白質聚集體,則可使用活性同型;4.若所需結果為拮抗表面受體,則使用非活性同型(Tysabri、IgG4;OKT3®、突變IgG1);5.若所需結果為消除標靶細胞,則使用活性同型(Herceptin、IgG1(且具有增強之效應功能));及6.若所需結果為自循環清除蛋白質而不進入CNS,則可使用IgM同型(例如清除循環Ab肽物質)。 Whether an mAb is active or inactive depends on the desired therapeutic endpoint of the antibody. Some examples of the use of isoforms and desired therapeutic results are listed below: 1. If the desired endpoint is the functional neutralization of soluble cytokines, an inactive isoform can be used; 2. If the desired result is the removal of pathological proteins, then Use active isoforms; 3. Use active isoforms if desired result is clearance of protein aggregates; 4. Use inactive isoforms if desired result is antagonistic to surface receptors (Tysabri, IgG4; OKT3®, mutant IgG1) ; 5. If the desired result is elimination of target cells, use active isotypes (Herceptin, IgG1 (and have enhanced effector functions)); and 6. If the desired result is to clear proteins from circulation without entering the CNS, then Use IgM isotypes (e.g., to remove circulating Ab peptide material).

親本mAb之Fc效應功能可藉由在此項技術中熟知之各種活體外方 法測定。 The Fc effector function of the parental mAb can be controlled by various in vitro methods well known in the art. Method determination.

如所討論,同型之選擇,且由此效應功能將視所需治療終點而定。在僅僅需要中和循環標靶(例如阻斷受體-配位體相互作用)之情況下,可能不需要效應功能。在該等情況下,需要消除效應功能之同型或抗體Fc區中之突變。在消除標靶細胞為治療終點(例如消除腫瘤細胞)的其他情況下,需要增強效應功能之同型或Fc區中之突變或去岩藻糖基化(Presta,L.G.,Adv.Drug Del.Rev.,58:640-656(2006);Satoh等人,Expert Opin.Biol.Ther.,6:1161-1173(2006))。類似地,視治療效用而定,抗體分子之循環半衰期可藉由在Fc區中引入特定突變而調節抗體-FcRn相互作用來縮短/延長(Dall'Acqua等人,J.Biol.Chem.,281:23514-23524(2006);Petkova等人,Int.Immunol.,18:1759-1769(2006);Vaccaro等人,Proc.Natl.Acad.Sci.USA,103:18709-18714(2006))。 As discussed, the choice of isotype, and thus the effector function, will depend on the desired end point of treatment. In the case where it is only necessary to neutralize circulating targets, such as blocking receptor-ligand interactions, effector functions may not be needed. In such cases, mutations in the isotype or antibody Fc region of the effector function need to be eliminated. In other cases where the elimination of target cells is a therapeutic endpoint (e.g., tumor cell elimination), mutations or defucosylation in the isotype or Fc region that enhance effector function are required (Presta, LG, Adv. Drug Del. Rev. 58: 640-656 (2006); Satoh et al. Expert Opin. Biol. Ther. , 6: 1161-1173 (2006)). Similarly, depending on the therapeutic effect, the circulating half-life of antibody molecules can be shortened / prolonged by introducing specific mutations in the Fc region to modulate antibody-FcRn interactions (Dall'Acqua et al., J. Biol. Chem. , 281 : 23514-23524 (2006); Petkova et al., Int. Immunol. , 18: 1759-1769 (2006); Vaccaro et al., Proc. Natl. Acad. Sci. USA , 103: 18709-18714 (2006)).

關於影響正常治療性mAb之不同效應功能之各種殘基的公開資訊可能需要對於DVD-Ig加以確認。在DVD-Ig形式中,除經鑑別用於調節單株抗體效應功能之殘基以外的其他(不同)Fc區殘基可能會較重要。 Public information on the various residues affecting the different effector functions of normal therapeutic mAbs may require confirmation of DVD-Ig. In the DVD-Ig format, other (different) Fc region residues than the residues identified for modulating the effector function of the monoclonal antibody may be important.

總體而言,關於何等Fc效應功能(同型)在最終DVD-Ig形式中至關重要之判定視疾病適應症、治療標靶、所需治療終點及安全考慮而定。以下列出例示性適當重鏈及輕鏈恆定區,其包括(但不限於):IgG1-異型:G1mz;IgG1突變體-A234、A235;IgG2-異型:G2m(n-);κ-Km3;及λ。 Overall, the decision as to what Fc effector function (isotype) is crucial in the final DVD-Ig format depends on the disease indication, the target of treatment, the desired end point of treatment, and safety considerations. Exemplary suitable heavy and light chain constant regions are listed below, including (but not limited to): IgG1-isotype: G1mz; IgG1 mutant-A234, A235; IgG2-isotype: G2m (n-); κ-Km3; And λ.

Fc受體及C1q研究:可藉由(例如L234A、L235A)鉸鏈區突變來消除因抗體與細胞膜上之任何過度表現之標靶複合所引起的不當抗體依賴性細胞介導性細胞毒性(ADCC)及補體依賴性細胞毒性(CDC)之可能性。存在於mAb之IgG1鉸鏈區中之此等經取代胺基酸預期會導致mAb 與人類Fc受體(而非FcRn)之結合減少,此歸因於FcgR結合據信出現於IgG1鉸鏈區上之重疊位點內。mAb之此特徵可導致優於含有野生型IgG之抗體的改良安全概況。mAb與人類Fc受體之結合可藉由使用細胞株(例如THP-1、K562)及表現FcgRIIb(或其他FcgR)之工程改造CHO細胞株之流式細胞儀實驗來測定。與IgG1對照單株抗體相比,mAb展示與FcgRI及FcgRIIa之結合降低,而與FcgRIIb之結合未受影響。C1q藉由抗原/IgG免疫複合物之結合及活化觸發具有後續發炎及/或免疫調節反應之典型補體級聯。IgG上之C1q結合位點已定位至IgG鉸鏈區內之殘基。C1q與增大濃度之mAb結合係由C1q ELISA評估。如當與野生型對照IgG1之結合相比時所預期,結果證明mAb不能結合C1q。總體而言,L234A、L235A鉸鏈區突變消除mAb與FcgRI、FcgRIIa及C1q之結合,但不影響mAb與FcgRIIb之相互作用。此等資料表明在活體內,具有突變Fc之mAb正常地與抑制性FcgRIIb相互作用但可能不能與活化FcgRI及FcgRIIa受體或C1q相互作用。 Fc receptor and C1q studies: mutations in the hinge region (e.g. L234A, L235A) can be used to eliminate inappropriate antibody-dependent cell-mediated cytotoxicity (ADCC) caused by the complexing of antibodies with any over-represented target on the cell membrane And the possibility of complement dependent cytotoxicity (CDC). The presence of these substituted amino acids in the IgG1 hinge region of the mAb is expected to result in reduced binding of the mAb to the human Fc receptor (instead of FcRn) due to the overlap of FcgR binding believed to occur on the IgG1 hinge region Within the site. This feature of mAb can lead to an improved safety profile over antibodies containing wild-type IgG. Binding of mAb to human Fc receptors can be determined by flow cytometry experiments using cell lines (such as THP-1, K562) and engineered CHO cell lines expressing FcgRIIb (or other FcgR). Compared to the IgG1 control monoclonal antibody, mAb displayed reduced binding to FcgRI and FcgRIIa, while binding to FcgRIIb was not affected. C1q triggers a typical complement cascade with subsequent inflammation and / or immunomodulatory responses through the binding and activation of the antigen / IgG immune complex. The C1q binding site on IgG has been mapped to residues in the IgG hinge region. The binding of C1q to increasing concentrations of mAb was assessed by C1q ELISA. As expected when compared to the binding of wild-type control IgG1, the results demonstrated that mAb was unable to bind C1q. In general, mutations in the hinge regions of L234A and L235A eliminated the binding of mAb to FcgRI, FcgRIIa, and C1q, but did not affect the interaction between mAb and FcgRIIb. These data indicate that in vivo, mAbs with mutated Fc normally interact with inhibitory FcgRIIb but may not interact with activated FcgRI and FcgRIIa receptors or C1q.

人類FcRn結合:新生兒受體(FcRn)負責輸送IgG穿過胎盤且控制IgG分子之分解代謝半衰期。可能需要增加抗體之末端半衰期以改良功效、降低劑量或投與頻率,或改良定位至標靶。或者,進行相反過程可能為有利的,亦即減小抗體之末端半衰期以降低全身暴露量或改良標靶-非標靶結合比。裁適IgG與其補救受體FcRn之間之相互作用提供一種增加或減小IgG之末端半衰期之方式。循環中之蛋白質(包括IgG)係經由某些細胞(諸如血管內皮之彼等細胞)實施之微胞飲作用而溶解於流體相中。IgG可在稍微酸性條件(pH值6.0-6.5)下結合核內體中之FcRn且可再循環至細胞表面,在細胞表面處其在幾乎中性條件(pH值7.0-7.4)下釋放。FcRn80、16、17上之Fc區結合位點之定位展示跨物種保守之兩個組胺酸殘基(His310及His435)決定著此相互作用之pH值依賴性。使用噬菌體呈現技術,鑑別增加與FcRn之結合且延長 小鼠IgG之半衰期的小鼠Fc區突變(參見Ghetie等人,Nature Biotechnol.,15(7):637-640(1997))。亦已鑑別增加在pH值6.0下、而非在pH值7.4下人類IgG對於FcRn之結合親和力的Fc區突變(參見Dall'Acqua等人,J.Immunol.,169(9):5171-5180(2002))。此外,在一情況下,對於恆河猴FcRn亦觀測到結合之類似pH值依賴性增加(多達27倍),且此導致與親本IgG相比在恆河猴中之血清半衰期增加兩倍(參見Hinton等人,J.Biol.Chem.,279(8):6213-6216(2004))。此等研究結果指示藉由裁適Fc區與FcRn之相互作用來延長抗體治療劑之血漿半衰期為可行的。相反地,減弱與FcRn之相互作用之Fc區突變可縮短抗體半衰期。 Human FcRn binding: The neonatal receptor (FcRn) is responsible for transporting IgG across the placenta and controls the catabolic half-life of IgG molecules. It may be necessary to increase the terminal half-life of the antibody to improve efficacy, reduce dosage or frequency of administration, or to improve targeting to a target. Alternatively, it may be advantageous to perform the reverse process, that is, reduce the terminal half-life of the antibody to reduce systemic exposure or improve the target-non-target binding ratio. Adapting the interaction between IgG and its rescue receptor FcRn provides a way to increase or decrease the terminal half-life of IgG. Circulating proteins (including IgG) are dissolved in the fluid phase via microcytotoxicity performed by certain cells, such as those of the vascular endothelium. IgG can bind FcRn in endosomes under slightly acidic conditions (pH 6.0-6.5) and can be recycled to the cell surface where it is released under almost neutral conditions (pH 7.0-7.4). The location of the Fc region binding sites on FcRn80, 16, 17 shows that two histidine residues (His310 and His435) conserved across species determine the pH dependence of this interaction. Using phage presentation technology, mouse Fc region mutations that increase binding to FcRn and extend the half-life of mouse IgG are identified (see Ghetie et al., Nature Biotechnol. , 15 (7): 637-640 (1997)). Mutations in the Fc region that increase the binding affinity of human IgG for FcRn at pH 6.0 instead of pH 7.4 have also been identified (see Dall'Acqua et al. , J. Immunol. , 169 (9): 5171-5180 ( 2002)). In addition, in one case, a similar pH-dependent increase in binding (up to 27-fold) was also observed for rhesus FcRn, and this resulted in a two-fold increase in serum half-life in rhesus monkeys compared to the parental IgG (See Hinton et al., J. Biol. Chem. , 279 (8): 6213-6216 (2004)). The results of these studies indicate that it is feasible to extend the plasma half-life of antibody therapeutics by tailoring the interaction between Fc regions and FcRn. Conversely, mutations in the Fc region that reduce interaction with FcRn can shorten antibody half-life.

B.10. 藥物動力學(PK)B.10. Pharmacokinetics (PK)

為生成具有所需藥物動力學概況之DVD-Ig分子,在一實施例中,選擇具有類似所需藥物動力學概況之親本mAb。一個考慮因素為對於單株抗體之免疫原性反應(亦即,「HAHA」,人類抗人類抗體反應;「HACA」,人類抗嵌合抗體反應)進一步使此等治療劑之藥物動力學複雜化。在一實施例中,將具有最小免疫原性或無免疫原性之單株抗體用於構築DVD-Ig分子以使得所得DVD-Ig亦將具有最小免疫原性或無免疫原性。決定mAb之PK之一些因素包括(但不限於)mAb之固有性質(VH胺基酸序列);免疫原性;FcRn結合及Fc功能。 To generate a DVD-Ig molecule with a desired pharmacokinetic profile, in one embodiment, a parent mAb with a similar desired pharmacokinetic profile is selected. One consideration is the immunogenic response to individual antibodies (ie, "HAHA", human anti-human antibody response; "HACA", human anti-chimeric antibody response) further complicates the pharmacokinetics of these therapeutic agents . In one embodiment, a monoclonal antibody with minimal or no immunogenicity is used to construct a DVD-Ig molecule so that the resulting DVD-Ig will also have minimal or non-immunogenicity. Some factors that determine the PK of a mAb include, but are not limited to, the inherent properties of the mAb (VH amino acid sequence); immunogenicity; FcRn binding and Fc function.

因為齧齒動物中之PK概況與獼猴及人類中之單株抗體之PK概況充分相關(或齧齒動物中之PK概況密切地預測獼猴及人類中之單株抗體之PK概況),所以所選親本單株抗體之PK概況可在齧齒動物中容易地測定。 Because the PK profile in rodents is well correlated with the PK profile of monoclonal antibodies in cynomolgus monkeys and humans (or the PK profile in rodents closely predicts the PK profile of monoclonal antibodies in cynomolgus monkeys and humans), the parent The PK profile of a monoclonal antibody can be easily determined in rodents.

在選擇具有所需PK特徵(及如本文中討論之其他所需功能性質)之親本單株抗體之後,構築DVD-Ig。因為DVD-Ig分子含有來自兩種親本單株抗體之兩個抗原結合域,所以亦評估DVD-Ig之PK性質。因 此,在測定DVD-Ig之PK性質時,可採用基於來源於2種親本單株抗體之兩個抗原結合域之功能來測定PK概況之PK檢定。可測定DVD-Ig之PK概況。可影響DVD-Ig之PK概況之其他因素包括抗原結合域(CDR)定向、連接子尺寸及Fc/FcRn相互作用。親本抗體之PK特徵可藉由評估以下參數來分析:吸收、分佈、新陳代謝及排泄。 After selecting a parental monoclonal antibody with the desired PK characteristics (and other desired functional properties as discussed herein), DVD-Ig is constructed. Because the DVD-Ig molecule contains two antigen-binding domains from two parental monoclonal antibodies, the PK properties of DVD-Ig were also evaluated. because Therefore, when determining the PK properties of DVD-Ig, a PK assay based on the function of two antigen-binding domains derived from two parental monoclonal antibodies can be used to determine the PK profile. The PK profile of DVD-Ig can be determined. Other factors that can affect the PK profile of DVD-Ig include antigen binding domain (CDR) orientation, linker size, and Fc / FcRn interactions. The PK characteristics of the parental antibodies can be analyzed by assessing the following parameters: absorption, distribution, metabolism, and excretion.

吸收:迄今為止,治療性單株抗體之投與為經由非經腸途徑(例如靜脈內[IV]、皮下[SC]或肌肉內[IM])。在SC或IM投與之後自胞間隙將mAb吸收至系統循環中主要經由淋巴路徑。可飽和、系統前、蛋白水解降解可導致在血管外投與之後絕對生物可用性可變。通常,由於在較高劑量下蛋白水解容量飽和,因此可觀測到隨著單株抗體劑量增加,絕對生物可用性增加。因為淋巴液緩慢排放至血管系統中,所以mAb之吸收過程通常相當緩慢,且吸收之持續時間可歷經數小時至若干天。在SC投與後單株抗體之絕對生物可用性一般在50%至100%之範圍內。在由DVD-Ig構築體靶向之血腦障壁(BBB)處由輸送介導之結構情況下,由於在血腦障壁(BBB)處於CNS隔室(其中DVD-Ig經釋放以能夠經由其第二抗原識別位點相互作用)中增強之跨細胞輸送,在血漿中之循環時間可降低。 Absorption: To date, the administration of therapeutic monoclonal antibodies has been via parenteral routes (eg intravenous [IV], subcutaneous [SC] or intramuscular [IM]). MAb is absorbed into the systemic circulation from the intercellular space after SC or IM administration, mainly via the lymphatic pathway. Saturable, pre-systemic, proteolytic degradation can lead to variable absolute bioavailability after extravascular administration. In general, since proteolytic capacity is saturated at higher doses, it is observed that absolute bioavailability increases with increasing monoclonal antibody doses. Because lymph fluid is slowly discharged into the vasculature, the absorption process of mAb is usually quite slow, and the duration of absorption can last from several hours to several days. The absolute bioavailability of individual antibodies after SC administration is generally in the range of 50% to 100%. In the case of a transport-mediated structure at the blood-brain barrier (BBB) targeted by the DVD-Ig construct, since the blood-brain barrier (BBB) is in the CNS compartment (where DVD-Ig is released to be able to pass through its The enhanced intercellular transport in the interaction of the two antigen recognition sites) can reduce the circulation time in plasma.

分佈:在IV投與後,單株抗體通常遵循兩階段血清(或血漿)濃度-時間概況,以快速分佈階段開始,接著為緩慢消除階段。一般而言,雙指數藥物動力學模型較好地描述此類型之藥物動力學概況。mAb在中央室中之分佈體積(Vc)通常等於或稍微大於血漿體積(2-3公升)。血清(血漿)濃度相對於時間概況之不同兩階段模式對於其他非經腸投與途徑(諸如IM或SC)可能為不明顯的,此歸因於血清(血漿)濃度-時間曲線之分佈階段由較長吸收部分所遮蔽。許多因素(包括物理化學性質、位點特定且標靶定向之受體介導之吸收、組織之結合能力及mAb劑量)可影響mAb之生物分佈。一些此等因素可造成mAb之生物分佈 的非線性。 Distribution: After IV administration, monoclonal antibodies usually follow a two-stage serum (or plasma) concentration-time profile, starting with a rapid distribution phase followed by a slow elimination phase. In general, bi-exponential pharmacokinetic models better describe this type of pharmacokinetic profile. The volume of distribution (Vc) of mAb in the central compartment is usually equal to or slightly greater than the volume of plasma (2-3 liters). The different two-stage pattern of serum (plasma) concentration versus time profile may be insignificant for other parenteral routes of administration (such as IM or SC), which is attributed to the distribution phase of the serum (plasma) concentration-time curve by Obscured by longer absorption. Many factors, including physicochemical properties, site-specific and target-targeted receptor-mediated absorption, tissue binding capacity, and mAb dose can affect the biodistribution of mAb. Some of these factors can cause non-linearities in the biodistribution of mAb.

新陳代謝及排泄:歸因於分子尺寸,完整單株抗體不經由腎臟排泄至尿液中。其主要藉由新陳代謝(例如分解代謝)來滅活。對於基於IgG之治療性單株抗體,半衰期通常在數小時或1-2天至20天以上之範圍內。mAb之消除可受許多因素影響,該等因素包括(但不限於)對於FcRn受體之親和力、mAb之免疫原性、mAb之糖基化程度、mAb對於蛋白水解之敏感性及受體介導之消除。 Metabolism and excretion: Due to molecular size, intact monoclonal antibodies are not excreted into the urine through the kidneys. It is primarily inactivated by metabolism (such as catabolism). For IgG-based therapeutic monoclonal antibodies, the half-life is usually in the range of hours or 1-2 days to more than 20 days. The elimination of mAb can be affected by many factors including, but not limited to, affinity for FcRn receptors, immunogenicity of mAb, degree of glycosylation of mAb, sensitivity of mAb to proteolysis, and receptor-mediated Its elimination.

B.11. 人類及毒物學物種(tox species)之組織交叉反應性模式B.11. Tissue cross-reactivity patterns in humans and tox species

相同染色模式表明可在毒物學物種中分析潛在人類毒性。毒物學物種為研究不相關毒性之彼等動物。 The same staining pattern indicates that potential human toxicity can be analyzed in toxicological species. Toxicological species are their animals that study unrelated toxicity.

選擇滿足以下兩個準則之個體抗體:(1)適於抗體標靶之已知表現之組織染色;及(2)人類與毒物學物種組織之間來自相同器官之類似染色模式。 Select individual antibodies that meet the following two criteria: (1) tissue staining suitable for the known performance of the antibody target; and (2) similar staining patterns from the same organs between human and toxicological species tissues.

準則1:免疫及/或抗體選擇通常採用重組或合成抗原(蛋白質、碳水化合物或其他分子)。與天然對應物之結合及相對於不相關抗原之對比篩選(counterscreen)通常為治療性抗體之篩選漏斗(screening funnel)之一部分。然而,相對於多種抗原之篩選通常不切實際。因此,對來自所有主要器官之人類組織進行組織交叉反應性研究用來排除抗體與任何不相關抗原之不當結合。 Guideline 1: Immune and / or antibody selection usually uses recombinant or synthetic antigens (proteins, carbohydrates or other molecules). Binding to natural counterparts and counterscreens against unrelated antigens are usually part of the screening funnel for therapeutic antibodies. However, screening against multiple antigens is often impractical. Therefore, tissue cross-reactivity studies on human tissues from all major organs are used to exclude improper binding of antibodies to any unrelated antigen.

準則2:對人類及毒物學物種組織(獼猴、犬、可能之齧齒動物及其他,如在人類研究中測試相同36或37個組織)之比較性組織交叉反應性研究有助於驗證毒物學物種之選擇。在對冷凍組織切片之典型組織交叉反應性研究中,治療性抗體可證明與已知抗原之預定結合及/或在較小程度上基於任一低程度相互作用(非特異性結合、與類似抗原之低程度結合、基於電荷之低程度相互作用等)與組織結合。在任何情況下,最相關毒物學動物物種為與人類及動物組織結合相符性程 度最高的物種。 Guideline 2: Comparative tissue cross-reactivity studies on human and toxicological species tissues (macaques, dogs, possible rodents, and others, such as testing the same 36 or 37 tissues in human studies) can help validate toxicological species Of choice. In a typical tissue cross-reactivity study on frozen tissue sections, therapeutic antibodies can demonstrate predetermined binding to known antigens and / or to a lesser extent based on any low-level interaction (non-specific binding, with similar antigens) Low degree of binding, low degree of interaction based on charge, etc.). In any case, the most relevant toxicological animal species is the one that conforms to the binding of human and animal tissues. The highest degree species.

組織交叉反應性研究遵循適當規章準則,包括EC CPMP Guideline III/5271/94「Production and quality control of mAbs」及1997 US FDA/CBER「Points to Consider in the Manufacture and Testing of Monoclonal Antibody Products for Human Use」。將屍檢或活組織檢查獲得之人類組織之冷凍切片(5μm)在物鏡上固定且乾燥。使用抗生物素蛋白-生物素系統執行組織切片之過氧化酶染色。FDA's Guidance「Points to Consider in the Manufacture and Testing of Monoclonal Antibody Products for Human Use」。相關參考文獻包括Clarke,J.(2004),Boon,L.(2002a),Boon,L.(2002b),Ryan,A.(1999)。 Tissue cross-reactivity studies follow appropriate regulatory guidelines, including EC CPMP Guideline III / 5271/94 "Production and quality control of mAbs" and 1997 US FDA / CBER "Points to Consider in the Manufacture and Testing of Monoclonal Antibody Products for Human Use" . Frozen sections (5 μm) of human tissue obtained from autopsies or biopsies were fixed on an objective lens and dried. Peroxidase staining of tissue sections was performed using the avidin-biotin system. FDA's Guidance " Points to Consider in the Manufacture and Testing of Monoclonal Antibody Products for Human Use ". Related references include Clarke, J. (2004), Boon, L. (2002a), Boon, L. (2002b), Ryan, A. (1999).

組織交叉反應性研究通常分兩個階段進行,第一階段包括來自一人類供體之32個組織(通常:腎上腺、胃腸道、前列腺、膀胱、心臟、骨骼肌、血細胞、腎臟、皮膚、骨髓、肝臟、脊髓、乳房、肺臟、脾臟、小腦、淋巴結、睪丸、大腦皮質、卵巢、胸腺、結腸、胰臟、甲狀腺、內皮、副甲狀腺、輸尿管、眼睛、垂體、子宮、輸卵管及胎盤)的冷凍切片。在第二階段中,完全交叉反應性研究係用來自3個不相關成人之多達38個組織(包括腎上腺、血液、血管、骨髓、小腦、大腦、子宮頸、食管、眼睛、心臟、腎臟、大腸、肝臟、肺臟、淋巴結、乳房乳腺、卵巢、輸卵管、胰臟、副甲狀腺、周邊神經、垂體、胎盤、前列腺、唾液腺、皮膚、小腸、脊髓、脾臟、胃、橫紋肌、睪丸、胸腺、甲狀腺、扁桃體、輸尿管、膀胱及子宮)進行。研究通常以最低限度兩個劑量濃度進行。 Tissue cross-reactivity studies are usually performed in two phases. The first phase includes 32 tissues from a human donor (usually: adrenal, gastrointestinal, prostate, bladder, heart, skeletal muscle, blood cells, kidney, skin, bone marrow, Liver, spinal cord, breast, lung, spleen, cerebellum, lymph nodes, testes, cerebral cortex, ovary, thymus, colon, pancreas, thyroid, endothelium, parathyroid, ureter, eyes, pituitary, uterus, fallopian tube and placenta) . In the second phase, the complete cross-reactivity study used up to 38 tissues (including adrenal glands, blood, blood vessels, bone marrow, cerebellum, brain, cervix, esophagus, eyes, heart, kidneys, Large intestine, liver, lungs, lymph nodes, breast mammary glands, ovaries, fallopian tubes, pancreas, parathyroid, peripheral nerves, pituitary, placenta, prostate, salivary glands, skin, small intestine, spinal cord, spleen, stomach, striated muscle, testes, thymus, thyroid, Tonsils, ureters, bladder and uterus). Studies are usually performed at a minimum of two dose concentrations.

治療性抗體(亦即測試物品)及同型匹配對照抗體可經生物素標記以便抗生物素蛋白-生物素複合物(ABC)偵測;其他偵測方法可包括FITC(或以其他方式)標記之測試物品之三級抗體偵測,或未標記之測 試物品與經標記之抗人類IgG預複合。 Therapeutic antibodies (i.e., test articles) and isotype control antibodies can be biotinylated for detection of avidin-biotin complex (ABC); other detection methods can include FITC (or other means) labeled Test item tertiary antibody detection, or unlabeled test The test article was pre-complexed with labeled anti-human IgG.

簡言之,將屍檢或活組織檢查獲得之人類組織之冷凍切片(約5μm)在物鏡上固定且乾燥。使用抗生物素蛋白-生物素系統執行組織切片之過氧化酶染色。首先(在預複合偵測系統之情況下),將測試物品與第二經生物素標記之抗人類IgG一起培育且形成免疫複合物。將在最終濃度為2μg/mL及10μg/mL之測試物品下的免疫複合物添加於物鏡上之組織切片上且隨後使組織切片與抗生物素蛋白-生物素-過氧化酶套組一起反應30分鐘。隨後,將DAB(3,3'-二胺基聯苯胺,過氧化酶反應之受質)塗覆持續4分鐘以便組織染色。將抗原-瓊脂糖珠粒用作陽性對照組織切片。 Briefly, frozen sections (about 5 μm) of human tissue obtained from autopsies or biopsies were fixed on an objective lens and dried. Peroxidase staining of tissue sections was performed using the avidin-biotin system. First (in the case of a pre-complex detection system), the test article is incubated with a second biotin-labeled anti-human IgG and forms an immune complex. Immune complexes under test articles at final concentrations of 2 μg / mL and 10 μg / mL were added to the tissue sections on the objective lens and then the tissue sections were reacted with the avidin-biotin-peroxidase kit 30 minute. Subsequently, DAB (3,3'-diaminobenzidine, a substrate for the peroxidase reaction) was applied for 4 minutes for tissue staining. Antigen-agarose beads were used as positive control tissue sections.

基於所討論之標靶抗原之已知表現,將任何特異性染色判定為預期(例如與抗原表現一致)或非預期反應性。將任何判定為特異性之染色關於強度及頻率進行計分。抗原或血清競爭或阻斷研究可進一步輔助判定所觀測到之染色為特異性抑或非特異性。 Based on the known manifestations of the target antigen in question, any specific staining is judged to be expected (e.g., consistent with antigen performance) or unexpected reactivity. Any stain that is judged to be specific is scored for intensity and frequency. Antigen or serum competition or blocking studies can further assist in determining whether the observed staining is specific or non-specific.

若發現兩個所選抗體滿足選擇準則(適當組織染色、人類與毒物學動物特定組織之間之匹配染色),則可選擇其用於DVD-Ig生成。 If two selected antibodies are found to meet the selection criteria (appropriate tissue staining, matching staining between human and toxicological animal specific tissues), they can be selected for DVD-Ig generation.

必須對於最終DVD-Ig構築體來重複組織交叉反應性研究,但雖然此等研究遵循如本文中概述之相同方案,但是由於任何結合可能來自兩個親本抗體中之任一者,且任何未經說明的結合需要藉由複雜抗原競爭研究來確認,因此其評估更複雜。 Tissue cross-reactivity studies must be repeated for the final DVD-Ig construct, but although these studies follow the same protocol as outlined herein, since any binding may come from either of the two parent antibodies, and any Illustrated binding needs to be confirmed by complex antigen competition studies, so its evaluation is more complicated.

顯而易見,若針對(1)缺少非預期組織交叉反應性研究結果及(2)相應人類與毒物學動物物種組織之間的組織交叉反應性研究結果之適當相似性來選擇兩個親本抗體,則極大地簡化對如DVD-Ig之多特異性分子進行組織交叉反應性研究的複雜任務。 Obviously, if two parental antibodies are selected for (1) the lack of unexpected tissue cross-reactivity studies and (2) the appropriate similarity of the results of tissue cross-reactivity studies between corresponding human and toxicological animal species tissues, then This greatly simplifies the complex task of performing tissue cross-reactivity studies on multispecific molecules such as DVD-Ig.

B.12. 特異性及選擇性B.12. Specificity and selectivity

為生成具有所需特異性及選擇性之DVD-Ig分子,需要生成及選 擇具有類似所需特異性及選擇性概況之親本mAb。 To generate a DVD-Ig molecule with the required specificity and selectivity, Select a parent mAb with a similar specificity and selectivity profile.

DVD-Ig之特異性及選擇性之結合研究由於四個或四個以上結合位點而可為複雜的,對每一抗原各兩個結合位點。簡言之,關於DVD-Ig使用ELISA、BIAcore、KinExA或其他相互作用研究之結合研究需要監測一個、兩個或兩個以上抗原與DVD-Ig分子之結合。雖然BIAcore技術可解析多個抗原之依序、獨立結合,但是包括ELISA之更傳統方法或如KinExA之更現代技術不能。因此,謹慎表徵每一親本抗體為關鍵性的。在已針對特異性表徵每一個體抗體之後,極大地簡化DVD-Ig分子中個體結合位點之特異性保留的確認。 DVD-Ig specific and selective binding studies can be complicated due to four or more binding sites, with two binding sites for each antigen. In short, binding studies on DVD-Ig using ELISA, BIAcore, KinExA, or other interaction studies require monitoring the binding of one, two, or more antigens to the DVD-Ig molecule. Although BIAcore technology can resolve sequential and independent binding of multiple antigens, more traditional methods including ELISA or more modern technologies such as KinExA cannot. Therefore, careful characterization of each parental antibody is critical. After each individual antibody has been specifically characterized, the confirmation of the specific retention of individual binding sites in the DVD-Ig molecule is greatly simplified.

顯而易見,若在兩個親本抗體組合成DVD-Ig之前針對特異性來進行選擇,則極大地簡化測定DVD-Ig特異性之複雜任務。 It is obvious that the selection of specificity before combining the two parent antibodies into DVD-Ig greatly simplifies the complicated task of determining the specificity of DVD-Ig.

抗原-抗體相互作用研究可採用許多形式,包括許多典型蛋白質-蛋白質相互作用研究,包括ELISA(酶聯免疫吸附檢定)、質譜分析、化學交聯、具有光散射之SEC、平衡透析、凝膠滲透、超濾、凝膠層析、大區分析SEC、微量製備級超速離心(沈降平衡)、光譜法、滴定微量熱法、沈降平衡(在分析超速離心機中)、沈降速度(在分析離心機中)、表面電漿子共振(包括BIAcore)。相關參考文獻包括Current Protocols in Protein Science,第3卷,第19章及第20章,(Coligan等人編)(John Wiley & Sons Inc.)及其中包括之參考文獻;及Current Protocols in Immunology,(Coligan等人編)(John Wiley & Sons Inc.)及其中包括之相關參考文獻。 Antigen-antibody interaction studies can take many forms, including many typical protein-protein interaction studies, including ELISA (enzyme-linked immunosorbent assay), mass spectrometry, chemical cross-linking, SEC with light scattering, equilibrium dialysis, gel permeation , Ultrafiltration, gel chromatography, large area analysis SEC, micropreparative ultracentrifugation (settling balance), spectroscopy, titration microcalorimetry, sedimentation balance (in analytical ultracentrifuge), sedimentation speed (in analytical centrifuge Middle), surface plasmon resonance (including BIAcore). Relevant references include Current Protocols in Protein Science , Volume 3, Chapters 19 and 20 (Coligan et al.) (John Wiley & Sons Inc.) and the references included therein; and Current Protocols in Immunology , ( Coligan et al.) (John Wiley & Sons Inc.) and related references included therein.

全血中之細胞激素釋放:mAb與人類血細胞之相互作用可藉由細胞激素釋放檢定研究(Wing等人,Therapeutic Immunol.,2(4):183-190(1995);Current Protocols in Pharmacology,(Enna等人編)(John Wiley & Sons Inc.);Madhusudan等人,Clin.Cancer Res.,10(19):6528-6534(2004);Cox等人,Methods,38(4):274-282(2006);Choi等人, Eur.J.Immunol.,31(1):94-106(2001))。簡言之,將各種濃度之mAb與人類全血一起培育24小時。測試之濃度應涵蓋寬泛範圍,包括模擬患者中之典型血液含量之最終濃度(包括但不限於100ng/ml-100μg/ml))。在培育之後,分析上清液及細胞溶解產物中IL-1Rα、TNF-α、IL-1b、IL-6及IL-8之存在。將對於mAb而言生成之細胞激素濃度概況與藉由陰性人類IgG對照及陽性LPS或PHA對照產生之概況進行比較。來自細胞上清液及細胞溶解產物兩者之mAb所展示的細胞激素概況與使用對照人類IgG的細胞激素概況相當。在一實施例中,單株抗體不與人類血細胞相互作用以自發地釋放發炎細胞激素。 Cytokine release in whole blood : The interaction of mAb with human blood cells can be studied by cytokine release assays (Wing et al., Therapeutic Immunol. , 2 (4): 183-190 (1995); Current Protocols in Pharmacology , ( Enna et al. (John Wiley & Sons Inc.); Madhusudan et al., Clin. Cancer Res. , 10 (19): 6528-6534 (2004); Cox et al., Methods , 38 (4): 274-282 (2006); Choi et al., Eur. J. Immunol. , 31 (1): 94-106 (2001)). Briefly, mAbs of various concentrations were incubated with human whole blood for 24 hours. The test concentration should cover a wide range, including the final concentration (including but not limited to 100ng / ml-100μg / ml) that mimics the typical blood content in a patient. After incubation, the presence of IL-1Rα, TNF-α, IL-1b, IL-6 and IL-8 in the supernatant and cell lysates was analyzed. The cytokine concentration profile generated for the mAb was compared to the profile generated by a negative human IgG control and a positive LPS or PHA control. The mAb from both the cell supernatant and the cell lysate showed comparable cytokine profiles to those using control human IgG. In one embodiment, the monoclonal antibody does not interact with human blood cells to spontaneously release inflammatory cytokines.

DVD-Ig之細胞激素釋放研究由於四個或四個以上結合位點而為複雜的,每一抗原各兩個結合位點。簡言之,如本文所述之細胞激素釋放研究量測完全DVD-Ig分子對於全血或其他細胞系統之作用,但可解析分子之哪一部分導致細胞激素釋放。一旦已偵測到細胞激素釋放,則必須確定DVD-Ig製劑之純度,此歸因於一些共純化之細胞組分可獨立地導致細胞激素釋放。若純度不造成問題,則可能需要採用DVD-Ig之碎裂(包括(但不限於)移除Fc部分、分離結合位點等)、結合位點突變誘發或其他方法以將任何觀測結果去卷積。顯而易見,若在兩個親本抗體組合成DVD-Ig之前針對缺乏細胞激素釋放來進行選擇,則極大地簡化此複雜任務。 DVD-Ig's cytokine release study is complicated by four or more binding sites, with two binding sites per antigen. In short, the cytokine release studies described herein measure the effect of complete DVD-Ig molecules on whole blood or other cellular systems, but can analyze which part of the molecule causes cytokine release. Once cytokine release has been detected, the purity of the DVD-Ig preparation must be determined, as some co-purified cellular components can independently lead to cytokine release. If the purity does not cause problems, fragmentation of the DVD-Ig (including (but not limited to) removal of the Fc portion, separation of binding sites, etc.), binding site mutation induction, or other methods may be required to deconvolute any observations product. Obviously, if the choice is made for a lack of cytokine release before the two parent antibodies are combined into a DVD-Ig, this complex task is greatly simplified.

B.13. 毒物學研究之對於其他物種之交叉反應性B.13. Cross-reactivity of toxicology studies to other species

在一實施例中,所選個體抗體具有與適當毒物學物種(例如獼猴)之足夠交叉反應性。親本抗體需要結合於直系同源性物種標靶(亦即獼猴)且引起適當反應(調節、中和、活化)。在一實施例中,與直系同源性物種標靶之交叉反應性(親和力/效能)應在人類標靶之10倍內。實際上,對於多個物種(包括小鼠、大鼠、犬、猴(及其他非人類靈長類))以及疾病模型物種(亦即用於哮喘模型之羊)來評估親本抗體。親 本單株抗體對於毒物學物種之可接受之交叉反應性使得可在相同物種中進行DVD-Ig之未來毒物學研究。為此原因,兩個親本單株抗體應具有對於共同毒物學物種之可接受之交叉反應性,因此使得可在相同物種中進行DVD-Ig之毒物學研究。 In one embodiment, the selected individual antibody has sufficient cross-reactivity with an appropriate toxicological species, such as a cynomolgus monkey. The parent antibody needs to bind to the target of the orthologous species (i.e. cynomolgus monkey) and elicit an appropriate response (regulation, neutralization, activation). In one embodiment, the cross-reactivity (affinity / potency) with orthologous species targets should be within 10 times of the human target. In fact, parental antibodies are evaluated for multiple species (including mice, rats, dogs, monkeys (and other non-human primates)) and disease model species (ie sheep for asthma models). Dear The acceptable cross-reactivity of this monoclonal antibody to toxicological species allows future toxicological studies of DVD-Ig in the same species. For this reason, two parental monoclonal antibodies should have acceptable cross-reactivity to a common toxicological species, thus making it possible to perform DVD-Ig toxicological studies in the same species.

親本mAb可選自能夠結合特異性標靶且在此項技術中熟知之各種mAb。此等包括(但不限於)IL-1β、抗TNF抗體(美國專利第6,258,562號)、抗IL-12及/或抗IL-12p40抗體(美國專利第6,914,128號)、抗IL-18抗體(美國公開案第2005/0147610 A1號)、抗C5、抗CBL、抗CD147、抗gp120、抗VLA-4、抗CD11a、抗CD18、抗VEGF、抗CD40L、抗CD-40(參見例如PCT公開案第WO 2007/124299號)、抗Id、抗ICAM-1、抗CXCL13、抗CD2、抗EGFR、抗TGF-β2、抗HGF、抗cMet、抗DLL-4、抗NPR1、抗PLGF、抗ErbB3、抗E-選擇素、抗Fact VII、抗Her2/neu、抗F gp、抗CD11/18、抗CD14、抗ICAM-3、抗RON、抗CD-19、抗CD80(例如參見PCT公開案第WO 2003/039486號)、抗CD4、抗CD3、抗CD23、抗β2-整合素、抗α4β7、抗CD52、抗HLA DR、抗CD22(參見例如美國專利第5,789,554號)、抗CD20、抗MIF、抗CD64(FcR)、抗TCRαβ、抗CD2、抗Hep B、抗CA 125、抗EpCAM、抗gp120、抗CMV、抗gpIIbIIIa、抗IgE、抗CD25、抗CD33、抗HLA、抗IGF1,2、抗IGFR、抗VNR整合素、抗IL-1α、抗IL-1β、抗IL-1受體、抗IL-2受體、抗IL-4、抗IL-4受體、抗IL5、抗IL-5受體、抗IL-6、抗IL-6R、RANKL、NGF、DKK、αVβ3、抗IL-8、抗IL-9、抗IL-13、抗IL-13受體、及抗IL-23、IL-23p19(參見Presta,L.G.,「Selection,design,and engineering of therapeutic antibodies」,J.Allergy Clin.Immunol.,116:731-736(2005)及全球資訊網站http://www.path.cam.ac.uk/~mrc7/humanisation/antibodies.html)。 The parental mAb can be selected from a variety of mAbs that are capable of binding specific targets and are well known in the art. These include (but are not limited to) IL-1β, anti-TNF antibodies (US Patent No. 6,258,562), anti-IL-12 and / or anti-IL-12p40 antibodies (US Patent No. 6,914,128), anti-IL-18 antibodies (US Publication No. 2005/0147610 A1), anti-C5, anti-CBL, anti-CD147, anti-gp120, anti-VLA-4, anti-CD11a, anti-CD18, anti-VEGF, anti-CD40L, anti-CD-40 (see, for example, PCT Publication No. WO 2007/124299), anti-Id, anti-ICAM-1, anti-CXCL13, anti-CD2, anti-EGFR, anti-TGF-β2, anti-HGF, anti-cMet, anti-DLL-4, anti-NPR1, anti-PLGF, anti-ErbB3, anti- E-selectin, anti-Fact VII, anti-Her2 / neu, anti-F gp, anti-CD11 / 18, anti-CD14, anti-ICAM-3, anti-RON, anti-CD-19, anti-CD80 (see, for example, PCT Publication No. WO 2003 / 039486), anti-CD4, anti-CD3, anti-CD23, anti-β2-integrin, anti-α4β7, anti-CD52, anti-HLA DR, anti-CD22 (see, e.g., U.S. Patent No. 5,789,554), anti-CD20, anti-MIF, anti-CD64 (FcR), anti-TCRαβ, anti-CD2, anti-Hep B, anti-CA 125, anti-EpCAM, anti-gp120, anti-CMV, anti-gpIIbIIIa, anti-IgE, anti-CD25, anti-CD33, anti-HLA, anti-IGF1,2, anti-IGFR, Anti-VNR integrin, anti-IL-1α, anti-IL-1β, anti- IL-1 receptor, anti-IL-2 receptor, anti-IL-4, anti-IL-4 receptor, anti-IL5, anti-IL-5 receptor, anti-IL-6, anti-IL-6R, RANKL, NGF, DKK , ΑVβ3, anti-IL-8, anti-IL-9, anti-IL-13, anti-IL-13 receptor, and anti-IL-23, IL-23p19 (see Presta, LG, `` Selection, design, and engineering of therapeutic antibodies ", J. Allergy Clin. Immunol. , 116: 731-736 (2005) and the global information website http://www.path.cam.ac.uk/~mrc7/humanisation/antibodies.html ).

親本mAb亦可選自經批准用於臨床試驗或用於開發臨床使用中之 各種治療性抗體。該等治療性抗體包括(但不限於)利妥昔單抗(rituximab)(Rituxan®,IDEC/Genentech/Roche)(參見例如美國專利第5,736,137號),經批准用於治療非霍奇金氏淋巴瘤之嵌合抗CD20抗體;HuMax-CD20,目前由Genmab開發之抗CD20,描述於美國專利第5,500,362號中之抗CD20抗體;AME-133(Applied Molecular Evolution);hA20(Immunomedics,Inc);HumaLYM(Intracel)及PRO70769(PCT公開案第WO 2004/056312號(PCT/US2003/040426),名稱為「Immunoglobulin Variants and Uses Thereof」);曲妥珠單抗(trastuzumab)(Herceptin®,Genentech)(參見例如美國專利第5,677,171號),經批准用於治療乳癌之人類化抗Her2/neu抗體;帕妥珠單抗(pertuzumab)(rhuMab-2C4,Omnitarg®),目前由Genentech開發;描述於美國專利第4,753,894號中之抗Her2抗體;西妥昔單抗(cetuximab)(Erbitux®,ImClone)(美國專利第4,943,533號;PCT公開案第WO 96/40210號),多種癌症之臨床試驗中之嵌合抗EGFR抗體;ABX-EGF(美國專利第6,235,883號),目前由Abgenix-Immunex-Amgen開發;HuMax-EGFr(美國第10/172,317號,以US 2003/0091561公開,現為美國專利第7,247,301號),目前由Genmab開發;425、EMD55900、EMD62000及EMD72000(Merck KGaA)(美國專利第5,558,864號;Murthy等人,Arch.Biochem.Biophys.,252(2):773-783(1991));ICR62(Institute of Cancer Research)(PCT公開案第WO 95/20045號;549-560(1987);Rodeck等人,J.Cell Biochem.,35(4):315-320(1987);Kettleborough等人,Protein Eng.,4(7);Modjtahedi等人,J.Cell Biophys.,22(1-3):129-146(1993);Modjtahedi等人,Br.J.Cancer,67(2):247-253(1993);Modjtahedi等人,Br.J.Cancer,73(2):228-235(1996);Modjtahedi等人,Int.J.Cancer,105(2):273-280(2003));TheraCIM hR3(YM Biosciences,Canada及Centro de Immunologia Molecular,Cuba)(美國專利第5,891,996號;美國專利第6,506,883號;Mateo等人,Immunotechnology,3(1):71-81(1997));mAb-806(Ludwig Institue for Cancer Research,Memorial Sloan-Kettering)(Jungbluth等人,Proc.Natl.Acad,Sci.USA.,100(2):639-644(2003));KSB-102(KS Biomedix);MR1-1(IVAX,National Cancer Institute)(PCT公開案第WO 01/62931號);及SC100(Scancell)(PCT公開案第WO 01/88138號);阿倫單抗(alemtuzumab)(Campath®,Millenium),目前經批准用於治療B細胞慢性淋巴細胞白血病之人類化mAb;莫羅單抗(muromonab)-CD3(Orthoclone OKT3®),由Ortho Biotech/Johnson & Johnson開發之抗CD3抗體;替伊莫單抗(ibritumomab tiuxetan)(Zevalin®),由IDEC/Schering AG開發之抗CD20抗體;吉妥珠單抗奧唑米星(gemtuzumab ozogamicin)(Mylotarg®),由Celltech/Wyeth開發之抗CD33(p67蛋白質)抗體;阿法賽特(alefacept)(Amevive®),由Biogen開發之抗LFA-3 Fc融合體;阿昔單抗(abciximab)(ReoPro®),由Centocor/Lilly開發;巴利昔單抗(basiliximab)(Simulect®),由Novartis開發;帕利珠單抗(palivizumab)(Synagis®),由Medimmune開發;英利昔單抗(infliximab)(Remicade®),由Centocor開發之抗TNFα抗體;阿達木單抗(adalimumab)(Humira®),由Abbott Laboratories開發之抗TNFα抗體;Humicade®,由Celltech開發之抗TNFα抗體;戈利木單抗(golimumab)(CNTO-148),由Centocor開發之完全人類TNF抗體;依那西普(etanercept)(Enbrel®),由Immunex/Amgen開發之p75 TNF受體Fc融合體;來那西普(lenercept),先前由Roche開發之p55TNF受體Fc融合體;ABX-CBL,由Abgenix開發之抗CD147抗體;ABX-IL8,由Abgenix開發之抗IL8抗體;ABX-MA1,由Abgenix開發之抗MUC18抗體;帕木單抗(Pemtumomab)(R1549、90Y-muHMFG1),由Antisoma開 發中之抗MUC1;Therex(R1550),由Antisoma開發之抗MUC1抗體;AngioMab(AS1405),由Antisoma開發;HuBC-1,由Antisoma開發;Thioplatin(AS1407),由Antisoma開發;Antegren®(那他珠單抗(natalizumab)),由Biogen開發之抗α-4-β-1(VLA-4)及α-4-β-7抗體;VLA-1 mAb,由Biogen開發之抗VLA-1整合素抗體;LTBR mAb,由Biogen開發之抗淋巴毒素β受體(LTBR)抗體;CAT-152,由Cambridge Antibody Technology開發之抗TGF-β2抗體;ABT 874(J695),由Abbott Laboratories開發之抗IL-12 p40抗體;CAT-192,由Cambridge Antibody Technology及Genzyme開發之抗TGFβ1抗體;CAT-213,由Cambridge Antibody Technology開發之抗嗜酸性粒細胞趨化因子1(Eotaxin1)抗體;LymphoStat-B®,由Cambridge Antibody Technology及Human Genome Sciences Inc.開發之抗Blys抗體;TRAIL-R1mAb,由Cambridge Antibody Technology及Human Genome Sciences,Inc.開發之抗TRAIL-R1抗體;Avastin®貝伐單抗(bevacizumab)(rhuMAb-VEGF),由Genentech開發之抗VEGF抗體,由Genentech開發之抗HER受體家族抗體;抗組織因子(ATF),由Genentech開發之抗組織因子抗體;Xolair®(奧馬珠單抗),由Genentech開發之抗IgE抗體;Raptiva®(依法珠單抗(Efalizumab)),由Genentech及Xoma開發之抗CD11a抗體;MLN-02抗體(先前為LDP-02),由Genentech及Millenium Pharmaceuticals開發;HuMax CD4,由Genmab開發之抗CD4抗體;HuMax-IL15,由Genmab及Amgen開發之抗IL15抗體;HuMax-Inflam,由Genmab及Medarex開發;HuMax-Cancer,由Genmab及Medarex及Oxford GcoSciences開發之抗肝素酶I抗體;HuMax-Lymphoma,由Genmab及Amgen開發;HuMax-TAC,由Genmab開發;由IDEC Pharmaceuticals開發之IDEC-131及抗CD40L抗體;IDEC-151(克立昔單抗(Clenoliximab)),由IDEC Pharmaceuticals開發之抗 CD4抗體;IDEC-114,由IDEC Pharmaceuticals開發之抗CD80抗體;IDEC-152,由IDEC Pharmaceuticals開發之抗CD23;抗巨噬細胞遷移因子(MIF)抗體,由IDEC Pharmaceuticals開發;BEC2,由ImClone開發之抗個體基因型抗體;IMC-1C11,由ImClone開發之抗KDR抗體;DC101,由ImClone開發之抗flk-1抗體;抗VE鈣黏著蛋白抗體,由ImClone開發;CEA-Cide®(拉貝珠單抗(labetuzumab)),抗癌胚抗原(CEA)抗體,由Immunomedics開發;LymphoCide®(依帕珠單抗(Epratuzumab)),由Immunomedics開發之抗CD22抗體;AFP-Cide,由Immunomedics開發;MyelomaCide,由Immunomedics開發;LkoCide,由Immunomedics開發;ProstaCide,由Immunomedics開發;MDX-010,由Medarex開發之抗CTLA4抗體;MDX-060,由Medarex開發之抗CD30抗體;MDX-070,由Medarex開發;MDX-018,由Medarex開發;由Medarex及Immuno-Designed Molecules開發之Osidem®(IDM-1)及抗Her2抗體;HuMax®-CD4,由Medarex及Genmab開發之抗CD4抗體;HuMax-IL15,由Medarex及Genmab開發之抗IL15抗體;CNTO 148,由Medarex及Centocor/Johnson & Johnson開發之抗TNFα抗體;CNTO 1275,由Centocor/Johnson & Johnson開發之抗細胞激素抗體;MOR101及MOR102,由MorphoSys開發之抗細胞間黏著分子-1(ICAM-1)(CD54)抗體;MOR201,由MorphoSys開發之抗纖維母細胞生長因子受體3(FGFR-3)抗體;Nuvion®(維利珠單抗(visilizumab)),由Protein Design Labs開發之抗CD3抗體;HuZAF®,由Protein Design Labs開發之抗γ干擾素抗體;抗α5β1整合素,由Protein Design Labs開發;抗IL-12,由Protein Design Labs開發;ING-1,由Xoma開發之抗Ep-CAM抗體;Xolair®(奧馬珠單抗),由Genentech及Novartis開發之人類化抗IgE抗體;及MLN01,由Xoma開發之抗β2整合素抗體。在另一實施例中,治療劑包括 KRN330(Kirin);huA33抗體(A33,Ludwig Institute for Cancer Research);CNTO 95(α V整合素,Centocor);MEDI-522(α Vβ3整合素,Medimmune);伏洛西單抗(volociximab)(α Vβ1整合素,Biogen/PDL);人類mAb 216(B細胞糖基化抗原決定基,NCI);BiTE MT103(雙特異性CD19×CD3,Medimmune);4G7×H22(雙特異性B細胞×FcγR1,Medarex/Merck KGa);rM28(雙特異性CD28×MAPG,歐洲專利第EP 1 444 268號);MDX447(EMD 82633)(雙特異性CD64×EGFR,Medarex);卡莫西單抗(Catumaxomab)(雷默伏(removab))(雙特異性EpCAM×抗CD3,Trion/Fres);厄妥索單抗(Ertumaxomab)(雙特異性HER2/CD3,Fresenius Biotech);奧戈伏單抗(oregovomab)(奧伏瑞(OvaRex))(CA-125,ViRexx);Rencarex®(WX G250)(碳酸酐酶IX,Wilex);CNTO 888(CCL2,Centocor);TRC105(CD105(內皮因子),Tracon);BMS-663513(CD137促效劑,Brystol Myers Squibb);MDX-1342(CD19,Medarex);希利珠單抗(Siplizumab)(MEDI-507)(CD2,Medimmune);奧托莫單抗(Ofatumumab)(Humax-CD20)(CD20,Genmab);利妥昔單抗(美羅華(Rituxan))(CD20,Genentech);維托珠單抗(veltuzumab)(hA20)(CD20,Immunomedics);依帕珠單抗(CD22,Amgen);魯昔單抗(lumiliximab)(IDEC 152)(CD23,Biogen);莫羅單抗-CD3(CD3,Ortho);HuM291(CD3 fc受體,PDL Biopharma);HeFi-1(CD30,NCI);MDX-060(CD30,Medarex);MDX-1401(CD30,Medarex);SGN-30(CD30,Seattle Genentics);SGN-33(林妥珠單抗(Lintuzumab))(CD33,Seattle Genentics);紮木單抗(Zanolimumab)(HuMax-CD4)(CD4,Genmab);HCD122(CD40,Novartis);SGN-40(CD40,Seattle Genentics);Campath1h(阿倫單抗(Alemtuzumab))(CD52,Genzyme);MDX-1411(CD70,Medarex); hLL1(EPB-1)(CD74.38,Immunomedics);加利昔單抗(Galiximab)(IDEC-144)(CD80,Biogen);MT293(TRC093/D93)(裂解膠原蛋白,Tracon);HuLuc63(CS1,PDL Pharma);伊力莫單抗(ipilimumab)(MDX-010)(CTLA4,Brystol Myers Squibb);曲力莫單抗(Tremelimumab)(替力莫單抗(Ticilimumab),CP-675,2)(CTLA4,Pfizer);HGS-ETR1(馬妥莫單抗(Mapatumumab))(DR4 TRAIL-R1促效劑,Human Genome Science/Glaxo Smith Kline);AMG-655(DR5,Amgen);艾坡單抗(Apomab)(DR5,Genentech);CS-1008(DR5,Daiichi Sankyo);HGS-ETR2(來沙木單抗(lexatumumab))(DR5 TRAIL-R2促效劑,HGS);西妥昔單抗(艾比特思(Erbitux))(EGFR,ImClone);IMC-11F8(EGFR,ImClone);尼妥珠單抗(Nimotuzumab)(EGFR,YM Bio);盤尼圖單抗(Panitumumab)(維克替比(Vectabix))(EGFR,Amgen);紮妥木單抗(Zalutumumab)(HuMaxEGFr)(EGFR,Genmab);CDX-110(EGFRvIII,AVANT Immunotherapeutics);阿德木單抗(adecatumumab)(MT201)(Epcam,Merck);依可洛單抗(edrecolomab)(Panorex,17-1A)(Epcam,Glaxo/Centocor);MORAb-003(葉酸受體a,Morphotech);KW-2871(神經結醣脂GD3,Kyowa);MORAb-009(GP-9,Morphotech);CDX-1307(MDX-1307)(hCGb,Celldex);曲妥珠單抗(赫賽汀(Herceptin))(HER2,Celldex);帕妥珠單抗(rhuMAb 2C4)(HER2(DI),Genentech);阿泊珠單抗(apolizumab)(HLA-DRβ鏈,PDL Pharma);AMG-479(IGF-1R,Amgen);抗IGF-1R R1507(IGF1-R,Roche);CP 751871(IGF1-R,Pfizer);IMC-A12(IGF1-R,ImClone);BIIB022(IGF-1R,Biogen);Mik-β-1(IL-2Rb(CD122),Hoffman LaRoche);CNTO 328(IL6,Centocor);抗KIR(1-7F9)(殺傷細胞Ig狀受體(KIR),Novo);Hu3S193(Lewis(y),Wyeth,Ludwig Institute of Cancer Research);hCBE-11(LTβR,Biogen);HuHMFG1(MUC1,Antisoma/NCI);RAV12(N連接之碳水化合物抗原決定基,Raven);CAL(副甲狀腺素相關蛋白(PTH-rP),University of California);CT-011(PD1,CureTech);MDX-1106(ono-4538)(PD1,Medarex/Ono);MAb CT-011(PD1,Curetech);IMC-3G3(PDGFRa,ImClone);巴維昔單抗(bavituximab)(磷脂醯絲胺酸,Peregrine);huJ591(PSMA,Cornell Research Foundation);muJ591(PSMA,Cornell Research Foundation);GC1008(TGFb(泛)抑制劑(IgG4),Genzyme);英利昔單抗(雷米卡德(Remicade))(TNFa,Centocor);A27.15(轉鐵蛋白受體,Salk Institute,INSERM,PCT公開案第WO 2005/111082號);E2.3(轉鐵蛋白受體,Salk Institute);貝伐單抗(阿瓦斯汀(Avastin))(VEGF,Genentech);HuMV833(VEGF,Tsukuba Research Lab,PCT公開案第WO 2000/034337號,University of Texas);IMC-18F1(VEGFR1,ImClone);IMC-1121(VEGFR2,ImClone)。 The parental mAb can also be selected from a variety of therapeutic antibodies approved for use in clinical trials or for development in clinical use. Such therapeutic antibodies include, but are not limited to, rituximab (Rituxan®, IDEC / Genentech / Roche) (see, e.g., U.S. Patent No. 5,736,137) and are approved for the treatment of non-Hodgkin's lymph Tumor chimeric anti-CD20 antibody; HuMax-CD20, the anti-CD20 currently developed by Genmab, is described in U.S. Patent No. 5,500,362; (Intracel) and PRO70769 (PCT Publication No. WO 2004/056312 (PCT / US2003 / 040426), named "Immunoglobulin Variants and Uses Thereof"); trastuzumab (Herceptin®, Genentech) (see For example, U.S. Patent No. 5,677,171), a humanized anti-Her2 / neu antibody approved for the treatment of breast cancer; Pertuzumab (rhuMab-2C4, Omniarg®), currently developed by Genentech; described in U.S. Patent No. Anti-Her2 antibody in No. 4,753,894; cetuximab (Erbitux®, ImClone) (U.S. Patent No. 4,943,533; PCT Publication No. WO 96/40210), chimeric anti-clinical in clinical trials of various cancers EGFR antibody; ABX-EGF (US special No. 6,235,883), currently developed by Abgenix-Immunex-Amgen; HuMax-EGFr (US No. 10 / 172,317, published as US 2003/0091561, now US Patent No. 7,247,301), currently developed by Genmab; 425, EMD55900, EMD62000 and EMD72000 (Merck KGaA) (U.S. Patent No. 5,558,864; Murthy et al., Arch. Biochem. Biophys. , 252 (2): 773-783 (1991)); ICR62 (Institute of Cancer Research) (PCT Publication No. WO 95/20045; 549-560 (1987); Rodeck et al., J. Cell Biochem., 35 (4): 315-320 (1987); Kettleborough et al., Protein Eng., 4 (7); Modjtahedi et al. Human, J. Cell Biophys. , 22 (1-3): 129-146 (1993); Modjtahedi et al., Br . J. Cancer , 67 (2): 247-253 (1993); Modjtahedi et al., Br. J. Cancer , 73 (2): 228-235 (1996); Modjtahedi et al., Int . J. Cancer , 105 (2): 273-280 (2003)); TheraCIM hR3 (YM Biosciences, Canada, and Centro de Immunologia Molecular, Cuba) (U.S. Patent No. 5,891,996; U.S. Patent No. 6,506,883; Mateo et al., Immunotechnology , 3 (1): 71-81 (1997)); mAb-806 (Ludwig Institue for Cancer Research, Memorial Sloan-K ettering) (Jungbluth et al., Proc. Natl. Acad, Sci. USA., 100 (2): 639-644 (2003)); KSB-102 (KS Biomedix); MR1-1 (IVAX, National Cancer Institute) ( PCT Publication No. WO 01/62931); and SC100 (Scancell) (PCT Publication No. WO 01/88138); alemtuzumab (Campath®, Millenium), currently approved for the treatment of B cells Humanized mAb for chronic lymphocytic leukemia; muromonab-CD3 (Orthoclone OKT3®), an anti-CD3 antibody developed by Ortho Biotech / Johnson &Johnson; ibritumomab tiuxetan (Zevalin®) , Anti-CD20 antibody developed by IDEC / Schering AG; gemtuzumab ozogamicin (Mylotarg®), anti-CD33 (p67 protein) antibody developed by Celltech / Wyeth; afafacept ) (Amevive®), an anti-LFA-3 Fc fusion developed by Biogen; abciximab (ReoPro®), developed by Centocor / Lilly; basiliximab (Simulect®), Developed by Novartis; palivizumab (Synagis®), developed by Medimmune; infliximab (Remicade®), developed by Centocor Anti-TNFα antibody; adalimumab (Humira®), an anti-TNFα antibody developed by Abbott Laboratories; Humicade®, an anti-TNFα antibody developed by Celltech; golimumab (CNTO-148) , A fully human TNF antibody developed by Centocor; etanercept (Enbrel®), a p75 TNF receptor Fc fusion developed by Immunex / Amgen; lenercept, p55TNF previously developed by Roche Receptor Fc fusions; ABX-CBL, an anti-CD147 antibody developed by Abgenix; ABX-IL8, an anti-IL8 antibody developed by Abgenix; ABX-MA1, an anti-MUC18 antibody developed by Abgenix; Pemtumomab (Pemtumomab) ( R1549, 90Y-muHMFG1), anti-MUC1 developed by Antisoma; Therex (R1550), anti-MUC1 antibody developed by Antisoma; AngioMab (AS1405), developed by Antisoma; HuBC-1, developed by Antisoma; Thioplatin (AS1407), Developed by Antisoma; Antegren® (natalizumab), anti-α-4-β-1 (VLA-4) and α-4-β-7 antibodies developed by Biogen; VLA-1 mAb, Anti-VLA-1 integrin antibody developed by Biogen; LTBR mAb, anti-lymphotoxin beta receptor (LTBR) developed by Biogen Antibodies; CAT-152, an anti-TGF-β2 antibody developed by Cambridge Antibody Technology; ABT 874 (J695), an anti-IL-12 p40 antibody developed by Abbott Laboratories; CAT-192, an anti-TGFβ1 developed by Cambridge Antibody Technology and Genzyme Antibodies; CAT-213, an anti-eosinophil chemokine 1 (Eotaxin1) antibody developed by Cambridge Antibody Technology; LymphoStat-B®, an anti-Blys antibody developed by Cambridge Antibody Technology and Human Genome Sciences Inc .; TRAIL-R1mAb , Anti-TRAIL-R1 antibody developed by Cambridge Antibody Technology and Human Genome Sciences, Inc .; Avastin® bevacizumab (rhuMAb-VEGF), anti-VEGF antibody developed by Genentech, and anti-HER antibody developed by Genentech Body family antibodies; anti-tissue factor (ATF), an anti-tissue factor antibody developed by Genentech; Xolair® (Omazumab), an anti-IgE antibody developed by Genentech; Raptiva® (Efalizumab), by Anti-CD11a antibody developed by Genentech and Xoma; MLN-02 antibody (previously LDP-02), developed by Genentech and Millenium Pharmaceuticals; HuMax CD4, developed by Genmab Anti-CD4 antibodies; HuMax-IL15, an anti-IL15 antibody developed by Genmab and Amgen; HuMax-Inflam, developed by Genmab and Medarex; HuMax-Cancer, an anti-heparinase I antibody developed by Genmab and Medarex and Oxford GcoSciences; HuMax- Lymphoma, developed by Genmab and Amgen; HuMax-TAC, developed by Genmab; IDEC-131 and anti-CD40L antibodies developed by IDEC Pharmaceuticals; IDEC-151 (Clenoliximab), anti-CD4 developed by IDEC Pharmaceuticals Antibodies; IDEC-114, an anti-CD80 antibody developed by IDEC Pharmaceuticals; IDEC-152, an anti-CD23 developed by IDEC Pharmaceuticals; anti-macrophage migration factor (MIF) antibody, developed by IDEC Pharmaceuticals; BEC2, an antibody developed by ImClone Individual genotype antibodies; IMC-1C11, an anti-KDR antibody developed by ImClone; DC101, an anti-flk-1 antibody developed by ImClone; an anti-VE cadherin antibody, developed by ImClone; CEA-Cide® (Rabetizumab (labetuzumab)), an anti-carcinoembryonic antigen (CEA) antibody, developed by Immunomedics; LymphoCide® (Epratuzumab), an anti-CD22 antibody developed by Immunomedics; AFP-Cide, by Immunome dics development; MyelomaCide, developed by Immunomedics; LkoCide, developed by Immunomedics; ProstaCide, developed by Immunomedics; MDX-010, anti-CTLA4 antibody developed by Medarex; MDX-060, anti-CD30 antibody developed by Medarex; MDX-070, developed by Developed by Medarex; MDX-018, developed by Medarex; Osidem® (IDM-1) and anti-Her2 antibodies developed by Medarex and Immuno-Designed Molecules; HuMax®-CD4, anti-CD4 antibodies developed by Medarex and Genmab; HuMax-IL15 , Anti-IL15 antibody developed by Medarex and Genmab; CNTO 148, anti-TNFα antibody developed by Medarex and Centocor / Johnson &Johnson; CNTO 1275, anti-cytokine antibody developed by Centocor / Johnson &Johnson; MOR101 and MOR102, by MorphoSys Developed anti-intercellular adhesion molecule-1 (ICAM-1) (CD54) antibody; MOR201, anti-fibroblast growth factor receptor 3 (FGFR-3) antibody developed by MorphoSys; Nuvion® (vilizumab ( visilizumab)), an anti-CD3 antibody developed by Protein Design Labs; HuZAF®, an anti-gamma interferon antibody developed by Protein Design Labs; anti-α5β1 integrin, developed by Protein Design Labs; anti-IL-12 Developed by Protein Design Labs; ING-1, an anti-Ep-CAM antibody developed by Xoma; Xolair® (Omuzumab), a humanized anti-IgE antibody developed by Genentech and Novartis; and MLN01, an anti-β2 developed by Xoma Integrin antibodies. In another embodiment, the therapeutic agent includes KRN330 (Kirin); huA33 antibody (A33, Ludwig Institute for Cancer Research); CNTO 95 (α V integrin, Centocor); MEDI-522 (α V β3 integrin, Medimmune); Volociximab (α Vβ1 integrin, Biogen / PDL); human mAb 216 (B cell glycosylation epitope, NCI); BiTE MT103 (bispecific CD19 × CD3, Medimmune); 4G7 × H22 (Bispecific B cells × FcγR1, Medarex / Merck KGa); rM28 (bispecific CD28 × MAPG, European Patent No. EP 1 444 268); MDX447 (EMD 82633) (bispecific CD64 × EGFR, Medarex); Catumaxomab (removab) (bispecific EpCAM x anti-CD3, Trion / Fres); Ertumaxomab (bispecific HER2 / CD3, Fresenius Biotech); Austria Orgovomab (OvaRex) (CA-125, ViRexx); Rencarex® (WX G250) (Carbon Anhydrase IX, Wilex); CNTO 888 (CCL2, Centocor); TRC105 (CD105 ( Endothelial factor), Tracon); BMS-663513 (CD137 agonist, Brystol Myers Squibb); MDX-1342 (CD19, Medarex); Siplizumab (MEDI-507) (CD2, M edimmune); Ofatumumab (Humax-CD20) (CD20, Genmab); Rituximab (Rituxan) (CD20, Genentech); veltuzumab (hA20) (CD20, Immunomedics); Epalizumab (CD22, Amgen); Lulimiximab (IDEC 152) (CD23, Biogen); Morozumab-CD3 (CD3, Ortho); HuM291 (CD3 fc Recipient, PDL Biopharma); HeFi-1 (CD30, NCI); MDX-060 (CD30, Medarex); MDX-1401 (CD30, Medarex); SGN-30 (CD30, Seattle Genentics); SGN-33 (Linto Lintuzumab) (CD33, Seattle Genentics); Zanolimumab (HuMax-CD4) (CD4, Genmab); HCD122 (CD40, Novartis); SGN-40 (CD40, Seattle Genentics); Campath1h (Alemtuzumab) (CD52, Genzyme); MDX-1411 (CD70, Medarex); hLL1 (EPB-1) (CD74.38, Immunomedics); Galiximab (IDEC-144) ) (CD80, Biogen); MT293 (TRC093 / D93) (lysed collagen, Tracon); HuLuc63 (CS1, PDL Pharma); ilimimumab (MDX-010) (CTLA4, Brystol Myers Squibb); Tremelimumab (Ticilimuma b), CP-675, 2) (CTLA4, Pfizer); HGS-ETR1 (Mapatumumab) (DR4 TRAIL-R1 agonist, Human Genome Science / Glaxo Smith Kline); AMG-655 ( DR5, Amgen); Apomab (DR5, Genentech); CS-1008 (DR5, Daiichi Sankyo); HGS-ETR2 (lexatumumab) (DR5 TRAIL-R2 agonist, (HGS); Cetuximab (Erbitux) (EGFR, ImClone); IMC-11F8 (EGFR, ImClone); Nitotuzumab (EGFR, YM Bio); Penituzumab Anti (Panitumumab) (Vectabix) (EGFR, Amgen); Zalutumumab (HuMaxEGFr) (EGFR, Genmab); CDX-110 (EGFRvIII, AVANT Immunotherapeutics); Adumab Anti (adecatumumab) (MT201) (Epcam, Merck); edrecolomab (Panorex, 17-1A) (Epcam, Glaxo / Centocor); MORAb-003 (folate receptor a, Morphotech); KW- 2871 (Necrolipid GD3, Kyowa); MORAb-009 (GP-9, Morphotech); CDX-1307 (MDX-1307) (hCGb, Celldex); Trastuzumab (Herceptin) ( HER2, Celldex); Pertuzumab (rhuMAb 2C4) (HER2 (DI), Genentech); Abuzumab (apolizumab) (HLA-DRβ chain, PDL Pharma); AMG-479 (IGF-1R, Amgen); anti-IGF-1R R1507 (IGF1-R, Roche); CP 751871 (IGF1-R, Pfizer); IMC-A12 (IGF1-R, ImClone); BIIB022 (IGF-1R, Biogen); Mik-β-1 (IL-2Rb (CD122), Hoffman LaRoche); CNTO 328 (IL6, Centocor); anti-KIR (1-7F9) ( Killer cell Ig-like receptor (KIR), Novo); Hu3S193 (Lewis (y), Wyeth, Ludwig Institute of Cancer Research); hCBE-11 (LTβR, Biogen); HuHMFG1 (MUC1, Antisoma / NCI); RAV12 (N Linked carbohydrate epitope, Raven); CAL (parathyroid hormone-related protein (PTH-rP), University of California); CT-011 (PD1, CureTech); MDX-1106 (ono-4538) (PD1, Medarex / Ono); MAb CT-011 (PD1, Curetech); IMC-3G3 (PDGFRa, ImClone); bavituximab (phospholipid serine, Peregrine); huJ591 (PSMA, Cornell Research Foundation); muJ591 (PSMA, Cornell Research Foundation); GC1008 (TGFb (pan) inhibitor (IgG4), Genzyme); Infliximab (Remicade) (TNFa, Centocor); A27.15 (transferrin Receptor, Salk Institute, INSERM, PCT company Case No. WO 2005/111082); E2.3 (transferrin receptor, Salk Institute); bevacizumab (Avastin) (VEGF, Genentech); HuMV833 (VEGF, Tsukuba Research Lab, PCT Publication No. WO 2000/034337, University of Texas); IMC-18F1 (VEGFR1, ImClone); IMC-1121 (VEGFR2, ImClone).

C. 構築DVD-IgC. Build DVD-Ig TMTM 結合蛋白Binding protein

設計多價多特異性雙重可變域免疫球蛋白(DVD-IgTM)結合蛋白以使得來自兩個不同親本單株抗體之兩個不同輕鏈可變域(VL)藉由重組DNA技術直接或經由短連接子串聯連接,其後為輕鏈恆定域。類似地,重鏈包含串聯連接之兩個不同重鏈可變域(VH),其後為恆定域CH1及Fc區。 Design a multivalent and multispecific dual variable domain immunoglobulin (DVD-Ig ) binding protein such that two different light chain variable domains (VL) from two different parental monoclonal antibodies are directly Or connected in series via short linkers, followed by the light chain constant domain. Similarly, the heavy chain comprises two different heavy chain variable domains (VHs) connected in series, followed by the constant domains CH1 and the Fc region.

可變域可使用重組DNA技術自藉由本文所述之方法中之任一者生成之親本抗體獲得。在一實施例中,可變域為鼠類重鏈或輕鏈可變域。在另一實施例中,可變域為CDR移植或人類化可變重鏈或輕鏈域。在一實施例中,可變域為人類重鏈或輕鏈可變域。 Variable domains can be obtained using recombinant DNA technology from a parental antibody generated by any of the methods described herein. In one embodiment, the variable domain is a murine heavy or light chain variable domain. In another embodiment, the variable domain is a CDR grafted or humanized variable heavy or light chain domain. In one embodiment, the variable domain is a human heavy or light chain variable domain.

在一實施例中,第一及第二可變域使用重組DNA技術彼此直接連接。在另一實施例中,可變域經由連接子序列連接。在一實施例中, 連接兩個可變域。三個或三個以上可變域亦可直接或經由連接子序列連接。可變域可結合同一抗原或可結合不同抗原。本發明之DVD-Ig分子可包括一個免疫球蛋白可變域及一個非免疫球蛋白可變域,諸如受體之配位體結合域、酶之活性域。DVD-Ig分子亦可包含兩個或兩個以上非Ig域。 In one embodiment, the first and second variable domains are directly linked to each other using recombinant DNA technology. In another embodiment, the variable domains are connected via a linker sequence. In one embodiment, Connect two variable domains. Three or more variable domains can also be linked directly or via a linker sequence. The variable domains may bind the same antigen or may bind different antigens. The DVD-Ig molecule of the present invention may include an immunoglobulin variable domain and a non-immunoglobulin variable domain, such as a ligand binding domain of a receptor and an active domain of an enzyme. DVD-Ig molecules may also contain two or more non-Ig domains.

連接子序列可為單一胺基酸或包含由肽鍵連接之兩個或兩個以上胺基酸殘基的連接子多肽。在一實施例中,連接子序列係選自由以下組成之群:GGGGSG(SEQ ID NO:26)、GGSGG(SEQ ID NO:27)、GGGGSGGGGS(SEQ ID NO:28)、GGSGGGGSG(SEQ ID NO:223)、GGSGGGGSGS(SEQ ID NO:29)、GGSGGGGSGGGGS(SEQ ID NO:30)、GGGGSGGGGSGGGG(SEQ ID NO:31)、GGGGSGGGGSGGGGS(SEQ ID NO:32)、ASTKGP(SEQ ID NO:33)、ASTKGPSVFPLAP(SEQ ID NO:34)、TVAAP(SEQ ID NO:35)、RTVAAP(SEQ ID NO:224)、TVAAPSVFIFPP(SEQ ID NO:36)、RTVAAPSVFIFPP(SEQ ID NO:225)、AKTTPKLEEGEFSEAR(SEQ ID NO:37)、AKTTPKLEEGEFSEARV(SEQ ID NO:38)、AKTTPKLGG(SEQ ID NO:39)、SAKTTPKLGG(SEQ ID NO:40)、SAKTTP(SEQ ID NO:41)、RADAAP(SEQ ID NO:42)、RADAAPTVS(SEQ ID NO:43)、RADAAAAGGPGS(SEQ ID NO:44)、RADAAAAGGGGSGGGGSGGGGSGGGGS(SEQ ID NO:45)、SAKTTPKLEEGEFSEARV(SEQ ID NO:46)、ADAAP(SEQ ID NO:47)、ADAAPTVSIFPP(SEQ ID NO:48)、QPKAAP(SEQ ID NO:49)、QPKAAPSVTLFPP(SEQ ID NO:50)、AKTTPP(SEQ ID NO:51)、AKTTPPSVTPLAP(SEQ ID NO:52)、AKTTAP(SEQ ID NO:53)、AKTTAPSVYPLAP(SEQ ID NO:54)、GENKVEYAPALMALS(SEQ ID NO:55)、GPAKELT PLKEAKVS(SEQ ID NO:56)及 GHEAAAVMQVQYPAS(SEQ ID NO:57)。連接子序列之選擇基於若干Fab分子之晶體結構分析。在Fab或抗體分子結構中之可變域與CH1/CL恆定域之間存在天然撓性鍵聯。此天然鍵聯包含約10-12個胺基酸殘基,其由來自V域之C端之4-6個殘基及來自CL/CH1域之N端之4-6個殘基提供。本文所述之DVD-Ig可使用CL或CH1之N端5-6個胺基酸殘基或11-12個胺基酸殘基分別作為DVD-Ig之輕鏈及重鏈中之連接子來生成。CL或CH1域之N端殘基,尤其前5-6個胺基酸殘基採用不具有強二級結構之環構形,因此可充當兩個可變域之間之撓性連接子。因為CL或CH1域之N端殘基為Ig序列之一部分,所以CL或CH1域之N端殘基為可變域之天然延伸,因此在很大程度上使潛在地自連接子及接合出現之任何免疫原性最小化。 The linker sequence may be a single amino acid or a linker polypeptide comprising two or more amino acid residues linked by a peptide bond. In one embodiment, the linker sequence is selected from the group consisting of: GGGGSG (SEQ ID NO: 26), GGSGG (SEQ ID NO: 27), GGGGSGGGGS (SEQ ID NO: 28), GGSGGGGSG (SEQ ID NO: 223), GGSGGGGSGS (SEQ ID NO: 29), GGSGGGGSGGGGS (SEQ ID NO: 30), GGGGSGGGGSGGGG (SEQ ID NO: 31), GGGGSGGGGSGGGGS (SEQ ID NO: 32), ASTKGP (SEQ ID NO: 33), ASTKGPSVFPLAP ( (SEQ ID NO: 34), TVAAP (SEQ ID NO: 35), RTVAAP (SEQ ID NO: 224), TVAAPSVFIFPP (SEQ ID NO: 36), RTVAAPSVFIFPP (SEQ ID NO: 225), AKTTPKLEEGEFSEAR (SEQ ID NO: 37) ), AKTTPKLEEGEFSEARV (SEQ ID NO: 38), AKTTPKLGG (SEQ ID NO: 39), SAKTTPKLGG (SEQ ID NO: 40), SAKTTP (SEQ ID NO: 41), RADAAP (SEQ ID NO: 42), RADAAPTVS (SEQ ID NO: 43), RADAAAAGGPGS (SEQ ID NO: 44), RADAAAAGGGGSGGGGSGGGGSGGGGS (SEQ ID NO: 45), SAKTTPKLEEGEFSEARV (SEQ ID NO: 46), ADAAP (SEQ ID NO: 47), ADAAPTVSIFPP (SEQ ID NO: 48) , QPKAAP (SEQ ID NO: 49), QPKAAPSVTLFPP (SEQ ID NO: 50), AKTTPP (SEQ ID NO: 51), AKTTPPSVTPLAP (SEQ ID NO: 52), AKTTAP (SEQ ID NO: 53), AKTTAPSVYPL AP (SEQ ID NO: 54), GENKVEYAPALMALS (SEQ ID NO: 55), GPAKELT PLKEAKVS (SEQ ID NO: 56), and GHEAAAVMQVQYPAS (SEQ ID NO: 57). The selection of the linker sequence is based on the crystal structure analysis of several Fab molecules. There is a natural flexible linkage between the variable domain in the Fab or antibody molecular structure and the CH1 / CL constant domain. This natural linkage contains about 10-12 amino acid residues, which are provided by 4-6 residues from the C-terminus of the V domain and 4-6 residues from the N-terminus of the CL / CH1 domain. The DVD-Ig described herein can use 5-6 amino acid residues or 11-12 amino acid residues at the N-terminus of CL or CH1 as the linkers in the light and heavy chains of DVD-Ig, respectively. generate. The N-terminal residues of the CL or CH1 domains, especially the first 5-6 amino acid residues, adopt a ring configuration that does not have a strong secondary structure, and therefore can serve as a flexible linker between two variable domains. Because the N-terminal residues of the CL or CH1 domain are part of the Ig sequence, the N-terminal residues of the CL or CH1 domain are a natural extension of the variable domain, and thus to a large extent make potential self-linkers and junctions appear. Minimize any immunogenicity.

其他連接子序列可包括CL/CH1域之任何長度之任何序列,但不包括CL/CH1域之所有殘基;例如CL/CH1域之前5-12個胺基酸殘基;輕鏈連接子可來自Cκ或Cλ;且重鏈連接子可來源於任何同型之CH1,包括Cγ1、Cγ2、Cγ3、Cγ4、Cα1、Cα2、Cδ、Cε及Cμ。連接子序列亦可來源於其他蛋白質,諸如Ig狀蛋白質(例如TCR、FcR、KIR);基於G/S之序列;鉸鏈域來源之序列;及來自其他蛋白質之其他天然序列。 Other linker sequences may include any sequence of any length of the CL / CH1 domain, but not all residues of the CL / CH1 domain; for example, 5-12 amino acid residues before the CL / CH1 domain; light chain linkers may From Cκ or Cλ; and the heavy chain linker can be derived from CH1 of any isotype, including Cγ1, Cγ2, Cγ3, Cγ4, Cα1, Cα2, Cδ, Cε, and Cμ. Linker sequences can also be derived from other proteins, such as Ig-like proteins (eg, TCR, FcR, KIR); G / S-based sequences; hinge domain-derived sequences; and other natural sequences from other proteins.

在一實施例中,恆定域使用重組DNA技術與兩個經連接之可變域連接。在一實施例中,包含經串聯連接之重鏈可變域之序列與重鏈恆定域連接且包含經串聯連接之輕鏈可變域之序列與輕鏈恆定域連接。在一實施例中,恆定域分別為人類重鏈恆定域及人類輕鏈恆定域。在一實施例中,DVD重鏈進一步與Fc區連接。Fc區可為天然序列Fc區或變異Fc區。在另一實施例中,Fc區為人類Fc區。在另一實施例中,Fc區包括來自IgG1、IgG2、IgG3、IgG4、IgA、IgM、IgE或IgD之Fc區。 In one embodiment, the constant domain is linked to two linked variable domains using recombinant DNA technology. In one embodiment, a sequence comprising a tandemly linked heavy chain variable domain is connected to a heavy chain constant domain and a sequence comprising a tandemly linked light chain variable domain is connected to a light chain constant domain. In one embodiment, the constant domains are a human heavy chain constant domain and a human light chain constant domain, respectively. In one embodiment, the DVD heavy chain is further linked to the Fc region. The Fc region may be a native sequence Fc region or a variant Fc region. In another embodiment, the Fc region is a human Fc region. In another embodiment, the Fc region comprises an Fc region from IgG1, IgG2, IgG3, IgG4, IgA, IgM, IgE, or IgD.

在一最佳實施例中,兩個重鏈DVD多肽及兩個輕鏈DVD多肽組合形成DVD-Ig分子。在以下實例部分中提供能夠結合特異性標靶抗原(諸如IL-1β)之特異性DVD-Ig分子及其製造方法的詳細描述。 In a preferred embodiment, two heavy chain DVD polypeptides and two light chain DVD polypeptides are combined to form a DVD-Ig molecule. A detailed description of specific DVD-Ig molecules capable of binding to a specific target antigen, such as IL-1β, and methods of making the same are provided in the Examples section below.

D. 產生DVD-Ig結合蛋白D. Production of DVD-Ig binding protein

本發明之DVD-Ig結合蛋白可藉由在此項技術中已知之許多技術中之任一者產生,例如自宿主細胞表現,其中藉由標準技術將編碼DVD-Ig重鏈及DVD-Ig輕鏈之表現載體轉染至宿主細胞中。各種形式之術語「轉染」意欲涵蓋通常用於將外源DNA引入原核或真核宿主細胞中之多種技術,例如電穿孔、磷酸鈣沈澱、DEAE-聚葡萄糖轉染及其類似技術。雖然可在原核或真核宿主細胞中表現本發明之DVD-Ig蛋白,但由於真核細胞(且尤其哺乳動物細胞)與原核細胞相比更可能組裝且分泌經適當摺疊且具免疫活性之DVD-Ig蛋白,因此DVD-Ig蛋白表現於該等真核細胞(例如哺乳動物宿主細胞)中。 The DVD-Ig binding protein of the present invention can be produced by any of a number of techniques known in the art, such as expression from a host cell, wherein the DVD-Ig heavy chain and DVD-Ig light are encoded by standard techniques. The strand expression vector is transfected into a host cell. The various forms of the term "transfection" are intended to encompass a variety of techniques commonly used to introduce foreign DNA into prokaryotic or eukaryotic host cells, such as electroporation, calcium phosphate precipitation, DEAE-polyglucose transfection, and the like. Although the DVD-Ig protein of the present invention can be expressed in prokaryotic or eukaryotic host cells, since eukaryotic cells (and especially mammalian cells) are more likely to assemble and secrete DVDs that are properly folded and immunocompetent than prokaryotic cells -Ig protein, and thus DVD-Ig protein is expressed in such eukaryotic cells (eg, mammalian host cells).

表現本發明之重組抗體之例示性哺乳動物宿主細胞包括中國倉鼠卵巢(CHO細胞)(包括dhfr-CHO細胞,於Urlaub及Chasin,Proc.Natl.Acad.Sci.USA,77:4216-4220(1980)中描述,其與DHFR可選標記一起使用,例如如Kaufman及Sharp,J.Mol.Biol.,159:601-621(1982)中描述)、NS0骨髓瘤細胞、COS細胞、SP2及PER.C6細胞。當將編碼DVD-Ig蛋白之重組表現載體引入哺乳動物宿主細胞中時,DVD-Ig蛋白係藉由培養宿主細胞持續足以允許在宿主細胞中表現DVD-Ig蛋白或將DVD-Ig蛋白分泌至宿主細胞藉以生長之培養基中之時段而產生。DVD-Ig蛋白可使用標準蛋白質純化方法自培養基中回收。 Exemplary mammalian host cells expressing the recombinant antibodies of the present invention include Chinese hamster ovary (CHO cells) (including dhfr-CHO cells in Urlaub and Chain, Proc. Natl. Acad. Sci. USA , 77: 4216-4220 (1980 ), Which is used with DHFR selectable markers, for example, as described in Kaufman and Sharp, J. Mol. Biol. , 159: 601-621 (1982)), NSO myeloma cells, COS cells, SP2 and PER. C6 cells. When a recombinant expression vector encoding a DVD-Ig protein is introduced into a mammalian host cell, the DVD-Ig protein is sufficient to allow the expression of the DVD-Ig protein in the host cell or the secretion of the DVD-Ig protein to the host by culturing the host cell. Cells are produced over time in the medium in which they are grown. DVD-Ig protein can be recovered from the culture medium using standard protein purification methods.

在重組表現本發明之DVD-Ig蛋白之例示性系統中,將編碼DVD-Ig重鏈及DVD-Ig輕鏈兩者之重組表現載體藉由磷酸鈣介導之轉染引入dhfr-CHO細胞中。在重組表現載體內,將DVD-Ig重鏈及輕鏈基因各自可操作地與CMV強化子/AdMLP啟動子調節組件連接以驅動基因 之高程度轉錄。重組表現載體亦帶有DHFR基因,其允許使用甲胺喋呤選擇/擴增來選擇已藉由載體轉染之CHO細胞。將所選轉化株宿主細胞培養以允許表現DVD-Ig重鏈及輕鏈且將完整DVD-Ig蛋白自培養基中回收。將標準分子生物學技術用以製備重組表現載體,轉染宿主細胞,選擇轉化株,培養宿主細胞及自培養基回收DVD-Ig蛋白。另外,本發明提供藉由在適合培養基中培養本發明之宿主細胞直至合成本發明之DVD-Ig蛋白來合成本發明之DVD-Ig蛋白的方法。該方法可進一步包含自培養基分離DVD-Ig蛋白。 In an exemplary system that recombinantly expresses the DVD-Ig protein of the present invention, a recombinant expression vector encoding both the DVD-Ig heavy chain and the DVD-Ig light chain is introduced into dhfr-CHO cells by calcium phosphate-mediated transfection. . Within the recombinant expression vector, the DVD-Ig heavy chain and light chain genes are each operably linked to the CMV enhancer / AdMLP promoter regulatory module to drive the genes High degree of transcription. The recombinant expression vector also carries the DHFR gene, which allows the use of methotrexate selection / amplification to select CHO cells that have been transfected with the vector. The selected transformant host cells were cultured to allow expression of the DVD-Ig heavy and light chains and recovery of the complete DVD-Ig protein from the culture medium. Standard molecular biology techniques are used to prepare recombinant expression vectors, transfect host cells, select transformants, cultivate host cells, and recover DVD-Ig protein from the culture medium. In addition, the present invention provides a method for synthesizing the DVD-Ig protein of the present invention by culturing the host cell of the present invention in a suitable medium until the DVD-Ig protein of the present invention is synthesized. The method may further include isolating the DVD-Ig protein from the culture medium.

DVD-Ig之重要特徵為其可以與習知抗體類似之方式產生及純化。DVD-Ig之產生導致具有所需雙重特異性活性之均質、單一主要產物,而無恆定區之任何序列修飾或任何種類之化學修飾。先前描述之生成「雙特異性」、「多特異性」及「多特異性多價」全長結合蛋白之其他方法不產生單一初級產物,而實際上導致經組裝之非活性、單特異性、多特異性、多價、全長結合蛋白及具有不同結合位點之組合的多價全長結合蛋白之混合物的細胞內或分泌產生。作為一實例,基於由Miller及Presta(PCT公開案第WO 2001/077342號)描述之設計,存在重鏈及輕鏈之16種可能組合。因此,僅6.25%之蛋白質可能呈所需活性形式,而非呈與其他15種可能組合相比之單一主要產物或單一初級產物形式。使用通常用於大規模製造中之標準層析技術將所需、完全活性形式之蛋白質與非活性及部分活性形式之蛋白質分離尚有待證明。 An important feature of DVD-Ig is that it can be produced and purified in a manner similar to conventional antibodies. The production of DVD-Ig results in a homogeneous, single main product with the required dual specific activity without any sequence modification or any kind of chemical modification of the constant region. The other methods described previously to generate "bispecific", "multispecific" and "multispecific multivalent" full-length binding proteins do not produce a single primary product, but actually result in assembled inactive, monospecific, multispecific A mixture of specific, multivalent, full-length binding proteins and multivalent full-length binding proteins with combinations of different binding sites is produced intracellularly or secreted. As an example, based on the design described by Miller and Presta (PCT Publication No. WO 2001/077342), there are 16 possible combinations of heavy and light chains. Therefore, only 6.25% of the protein may be in the desired active form, rather than in the form of a single main product or a single primary product compared to the other 15 possible combinations. The separation of desired, fully active forms of proteins from inactive and partially active forms of proteins using standard chromatography techniques commonly used in large-scale manufacturing remains to be proven.

令人驚訝地,本發明之「雙重特異性多價全長結合蛋白」之設計導致雙重可變域輕鏈及雙重可變域重鏈主要組裝為所需「雙重特異性多價全長結合蛋白」。 Surprisingly, the design of the "dual-specific multivalent full-length binding protein" of the present invention results in the assembly of the dual variable domain light chain and the dual variable domain heavy chain mainly into the desired "dual-specific multivalent full-length binding protein".

至少50%、至少75%且至少90%之經組裝且表現之DVD-Ig分子為所需雙重特異性四價蛋白。本發明之此態樣尤其增強本發明之商業效 用。因此,本發明包括在單一細胞中表現雙重可變域輕鏈及雙重可變域重鏈,從而產生「雙重特異性四價全長結合蛋白」之單一初級產物的方法。 At least 50%, at least 75%, and at least 90% of the assembled and expressed DVD-Ig molecules are the desired dual-specific tetravalent protein. This aspect of the invention particularly enhances the commercial effectiveness of the invention use. Therefore, the present invention includes a method of expressing a dual variable domain light chain and a dual variable domain heavy chain in a single cell, thereby generating a single primary product of a "dual-specific tetravalent full-length binding protein".

本發明提供在單一細胞中表現雙重可變域輕鏈及雙重可變域重鏈,從而產生「雙重特異性四價全長結合蛋白」之「初級產物」的方法,其中該「初級產物」為包含雙重可變域輕鏈及雙重可變域重鏈之所有組裝蛋白質之50%以上。 The invention provides a method for expressing a dual variable domain light chain and a dual variable domain heavy chain in a single cell, thereby generating a "primary product" of a "dual-specific tetravalent full-length binding protein", wherein the "primary product" comprises More than 50% of all assembled proteins of dual variable domain light chain and dual variable domain heavy chain.

本發明提供在單一細胞中表現雙重可變域輕鏈及雙重可變域重鏈,從而產生「雙重特異性四價全長結合蛋白」之單一「初級產物」的方法,其中該「初級產物」為包含雙重可變域輕鏈及雙重可變域重鏈之所有組裝蛋白質之75%以上。 The present invention provides a method for expressing a dual variable domain light chain and a dual variable domain heavy chain in a single cell, thereby generating a single "primary product" of a "dual-specific tetravalent full-length binding protein", wherein the "primary product" is More than 75% of all assembled proteins including dual variable domain light chains and dual variable domain heavy chains.

本發明提供在單一細胞中表現雙重可變域輕鏈及雙重可變域重鏈,從而產生「雙重特異性四價全長結合蛋白」之單一「初級產物」的方法,其中該「初級產物」為包含雙重可變域輕鏈及雙重可變域重鏈之所有組裝蛋白質之90%以上。 The present invention provides a method for expressing a dual variable domain light chain and a dual variable domain heavy chain in a single cell, thereby generating a single "primary product" of a "dual-specific tetravalent full-length binding protein", wherein the "primary product" is More than 90% of all assembled proteins including dual variable domain light chains and dual variable domain heavy chains.

6. IL-1β結合蛋白及產生結合蛋白之細胞株的產生6. Production of IL-1β binding protein and cell lines producing binding protein

本發明之IL-1β結合蛋白(包括抗IL-1β抗體)較佳展現降低或中和IL-1β活性之較高能力,例如,如由此項技術中已知之若干活體外及活體內檢定中之任一者所評估。本發明之IL-1β結合蛋白較佳亦展現降低或中和IL-1β活性之較高能力。 The IL-1β binding proteins (including anti-IL-1β antibodies) of the present invention preferably exhibit a higher ability to reduce or neutralize IL-1β activity, for example, as in several in vitro and in vivo assays known in the art Evaluated by either. The IL-1β binding protein of the present invention preferably also exhibits a higher ability to reduce or neutralize IL-1β activity.

在較佳實施例中,結合蛋白或其抗原結合部分結合人類IL-1β,其中結合蛋白或其抗原結合部分以約0.1s-1或0.1s-1以下之koff速率常數(如表面電漿子共振所測定)自人類IL-1β解離,或以約1×10-6M或1×10-6M以下之IC50抑制人類IL-1β活性。或者,結合蛋白或其抗原結合部分可以約1×10-2s-1或1×10-2s-1以下之koff速率常數(如表面電漿子共振所測定)自人類IL-1β解離,或可以約1×10-7M或1×10-7M以下之 IC50抑制人類IL-1β活性。或者,結合蛋白或其抗原結合部分可以約1×10-3s-1或1×10-3s-1以下之koff速率常數(如表面電漿子共振所測定)自人類IL-1β解離,或可以約1×10-8M或1×10-8M以下之IC50抑制人類IL-1β。或者,結合蛋白或其抗原結合部分可以約1×10-4s-1或1×10-4s-1以下之koff速率常數(如表面電漿子共振所測定)自人類IL-1β解離,或可以約1×10-9M或1×10-9M以下之IC50抑制人類IL-1β活性。或者,結合蛋白或其抗原結合部分可以約1×10-5s-1或1×10-5s-1以下之koff速率常數(如表面電漿子共振所測定)自人類IL-1β解離,或可以約1×10-10M或1×10-10M以下之IC50抑制人類IL-1β活性。或者,結合蛋白或其抗原結合部分可以約1×10-5s-1或1×10-5s-1以下之koff速率常數(如表面電漿子共振所測定)自人類IL-1β解離,或可以約1×10-11M或1×10-11M以下之IC50抑制人類IL-1β活性。 In a preferred embodiment, the binding protein or antigen-binding portion thereof binds human IL-1β, wherein the binding protein or antigen-binding portion thereof has a k off rate constant (such as a surface plasma) of about 0.1s -1 or less than 0.1s -1 . the measured resonance) from human IL-1β dissociated, or about 1 × 10 -6 M or 1 × 10 -6 M or less of IC 50 inhibition of human IL-1β activity. Alternatively, the binding protein or its antigen-binding portion can be dissociated from human IL-1β at a k off rate constant (as measured by surface plasmon resonance) below about 1 × 10 -2 s -1 or 1 × 10 -2 s -1 . or may be about 1 × 10 -7 M or 1 × 10 -7 M IC 50 of the inhibition of human IL-1β activity. Alternatively, the binding protein or its antigen-binding portion can be dissociated from human IL-1β at a k off rate constant (as measured by surface plasmon resonance) below about 1 × 10 -3 s -1 or 1 × 10 -3 s -1 . or may be about 1 × 10 -8 M or 1 × 10 -8 M IC 50 of the inhibition of human IL-1β. Alternatively, the binding protein or its antigen-binding portion can be dissociated from human IL-1β at a k off rate constant (as measured by surface plasmon resonance) below about 1 × 10 -4 s -1 or 1 × 10 -4 s -1 . or may be about 1 × 10 -9 M or 1 × 10 -9 M IC 50 of the inhibition of human IL-1β activity. Alternatively, the binding protein or its antigen-binding portion can be dissociated from human IL-1β at a k off rate constant (as measured by surface plasmon resonance) below about 1 × 10 -5 s -1 or 1 × 10 -5 s -1 . or may be about 1 × 10 -10 M or less 1 × 10 -10 M IC 50 of inhibition of the activity of human IL-1β. Alternatively, the binding protein or its antigen-binding portion can be dissociated from human IL-1β at a k off rate constant (as measured by surface plasmon resonance) below about 1 × 10 -5 s -1 or 1 × 10 -5 s -1 . or may be about 1 × 10 -11 M or less 1 × 10 -11 M IC 50 of inhibition of the activity of human IL-1β.

在某些實施例中,結合蛋白包含重鏈恆定區,諸如IgG1、IgG2、IgG3、IgG4、IgA、IgE、IgM或IgD恆定區。重鏈恆定區較佳為IgG1重鏈恆定區或IgG4重鏈恆定區。此外,抗體可包含輕鏈恆定區(κ輕鏈恆定區或λ輕鏈恆定區)。抗體較佳包含κ輕鏈恆定區。或者,抗體部分可為例如Fab片段或單鏈Fv片段。 In certain embodiments, the binding protein comprises a heavy chain constant region, such as an IgG1, IgG2, IgG3, IgG4, IgA, IgE, IgM, or IgD constant region. The heavy chain constant region is preferably an IgG1 heavy chain constant region or an IgG4 heavy chain constant region. In addition, the antibody may comprise a light chain constant region (a kappa light chain constant region or a lambda light chain constant region). The antibody preferably comprises a kappa light chain constant region. Alternatively, the antibody portion may be, for example, a Fab fragment or a single-chain Fv fragment.

置換Fc部分中之胺基酸殘基以改變抗體效應功能在此項技術中為已知的(Winter等人,美國專利第5,648,260號及第5,624,821號)。抗體之Fc部分介導若干重要的效應功能,例如細胞激素誘導、ADCC、吞噬作用、補體依賴性細胞毒性(CDC)以及抗體及抗原-抗體複合物之半衰期/清除率。視治療目標而定,此等效應功能在一些情況下為治療性抗體所需,但在其他情況下可能不必要或甚至有害。某些人類IgG同型、尤其IgG1及IgG3經由分別與FcγR及補體C1q結合而介導ADCC及CDC。新生兒Fc受體(FcRn)為決定抗體之循環半衰期之關鍵組分。在另一實施例中,置換抗體之恆定區(例如抗體之Fc區)中之至少一個 胺基酸殘基,以使抗體之效應功能改變。 Substitution of amino acid residues in the Fc portion to alter antibody effector functions is known in the art (Winter et al., U.S. Pat. Nos. 5,648,260 and 5,624,821). The Fc portion of an antibody mediates several important effector functions, such as cytokine induction, ADCC, phagocytosis, complement-dependent cytotoxicity (CDC), and half-life / clearance of antibodies and antigen-antibody complexes. Depending on the goal of treatment, these effector functions are required for therapeutic antibodies in some cases, but may be unnecessary or even harmful in other cases. Certain human IgG isotypes, especially IgG1 and IgG3, mediate ADCC and CDC via binding to FcγR and complement C1q, respectively. Neonatal Fc receptor (FcRn) is a key component that determines the circulating half-life of antibodies. In another embodiment, at least one of the constant regions of an antibody (e.g., the Fc region of an antibody) is replaced. Amino acid residues to alter the effector function of the antibody.

一實施例提供一種經標記之結合蛋白,其中本發明之抗體或抗體部分經衍生處理或與另一功能分子(例如另一肽或蛋白質)連接。舉例而言,本發明之經標記結合蛋白可藉由使本發明之抗體或抗體部分(藉由化學偶合、遺傳融合、非共價締合或以其他方式)與一或多個其他分子實體功能性連接來進行衍生處理,該或該等分子實體為諸如另一抗體(例如雙特異性抗體或雙功能抗體)、可偵測劑、細胞毒性劑、醫藥劑及/或可介導抗體或抗體部分與另一分子(諸如抗生蛋白鏈菌素核心區或聚組胺酸標籤)締合之蛋白質或肽。 An embodiment provides a labeled binding protein in which an antibody or antibody portion of the invention is derivatized or linked to another functional molecule, such as another peptide or protein. For example, a labeled binding protein of the present invention can function with one or more other molecular entities by allowing an antibody or antibody portion of the present invention (by chemical coupling, genetic fusion, non-covalent association, or other means) Sexual connection for derivatization, the molecular entity or entities are, for example, another antibody (eg, a bispecific antibody or a bifunctional antibody), a detectable agent, a cytotoxic agent, a pharmaceutical agent, and / or an antibody or antibody A protein or peptide partially associated with another molecule, such as a streptavidin core region or a polyhistidine tag.

適用於對本發明之結合蛋白(諸如抗體或抗體部分)進行衍生處理之可偵測劑包括螢光化合物。例示性螢光可偵測劑包括螢光素、異硫氰酸螢光素、若丹明、5-二甲胺-1-萘磺醯氯、藻紅素(phycoerythrin)及其類似物。亦可用可偵測酶(諸如鹼性磷酸酶、辣根過氧化酶、葡萄糖氧化酶及其類似物)對抗體進行衍生處理。當用可偵測酶對抗體進行衍生處理時,其係藉由添加該酶用來產生可偵測反應產物之其他試劑來偵測。舉例而言,當存在可偵測劑辣根過氧化酶時,添加過氧化氫及二胺基聯苯胺產生有色反應產物,其為可偵測的。亦可用生物素對抗體進行衍生處理,且經由間接量測抗生物素蛋白或抗生蛋白鏈菌素之結合來偵測。 Detectable agents suitable for derivatizing a binding protein (such as an antibody or antibody portion) of the invention include fluorescent compounds. Exemplary fluorescently detectable agents include luciferin, fluorescein isothiocyanate, rhodamine, 5-dimethylamine-1-naphthosulfonyl chloride, phycoerythrin, and the like. Antibodies can also be derivatized with detectable enzymes such as alkaline phosphatase, horseradish peroxidase, glucose oxidase and the like. When the antibody is derivatized with a detectable enzyme, it is detected by adding other reagents that the enzyme uses to generate a detectable reaction product. For example, when a detectable agent horseradish peroxidase is present, the addition of hydrogen peroxide and diaminobenzidine produces a colored reaction product that is detectable. The antibody can also be derivatized with biotin and detected by indirect measurement of the binding of avidin or streptavidin.

本發明之另一實施例提供一種結晶化結合蛋白。本發明較佳係關於如本文所揭示之完整抗IL-1β抗體及其片段之晶體,以及包含該等晶體之調配物及組合物。在一實施例中,結晶化結合蛋白具有與該結合蛋白之可溶性對應物相比較長之活體內半衰期。在另一實施例中,結合蛋白在結晶後保留生物活性。 Another embodiment of the present invention provides a crystallized binding protein. The invention preferably relates to crystals of intact anti-IL-1β antibodies and fragments thereof as disclosed herein, as well as formulations and compositions comprising such crystals. In one embodiment, the crystallized binding protein has a longer in vivo half-life compared to the soluble counterpart of the binding protein. In another embodiment, the binding protein retains biological activity after crystallization.

本發明之結晶化結合蛋白可根據此項技術中已知且如PCT公開案第WO 02/072636號中所揭示之方法製備,該文獻以引用的方式併入 本文中。 The crystalline binding protein of the present invention can be prepared according to methods known in the art and as disclosed in PCT Publication No. WO 02/072636, which is incorporated by reference. In this article.

本發明之另一實施例提供一種糖基化結合蛋白,其中抗體或其抗原結合部分包含一或多個碳水化合物殘基。初期活體內蛋白質產生可經歷稱為轉譯後修飾之進一步處理。詳言之,可以酶促方式添加糖(糖基)殘基,一種稱為糖基化之方法。帶有共價連接之寡醣側鏈之所得蛋白質稱為糖基化蛋白或醣蛋白。 Another embodiment of the present invention provides a glycosylation binding protein, wherein the antibody or antigen-binding portion thereof comprises one or more carbohydrate residues. Early in vivo protein production can undergo further processing called post-translational modification. In particular, sugar (glycosyl) residues can be added enzymatically, a method called glycosylation. The resulting protein with a covalently linked oligosaccharide side chain is called a glycosylated protein or glycoprotein.

天然產生抗體為在Fc域以及可變域中具有一或多個碳水化合物殘基之醣蛋白。Fc域中之碳水化合物殘基對Fc域之效應功能具有重要影響,對於抗體之抗原結合或半衰期之影響最小(Jefferis,R.,Biotechnol.Prog.,21:11-16(2005))。相比之下,可變域之糖基化可對抗體之抗原結合活性具有影響。可變域中之糖基化可能歸因於位阻而可對抗體結合親和力具有負面影響(Co等人,Mol.Immunol.,30:1361-1367(1993)),或導致對於抗原之親和力增加(Wallick等人,J.Exp.Med.,168:1099-1109(1988);Wright等人,EMBO J.,10:2717-2723(1991))。 Naturally occurring antibodies are glycoproteins that have one or more carbohydrate residues in the Fc domain and the variable domain. Carbohydrate residues in the Fc domain have an important effect on the effector function of the Fc domain and have the least effect on the antigen binding or half-life of the antibody (Jefferis, R., Biotechnol. Prog. , 21: 11-16 (2005)). In contrast, glycosylation of variable domains can have an effect on the antigen-binding activity of antibodies. Glycosylation in the variable domain may be attributed to steric hindrance and may have a negative effect on antibody binding affinity (Co et al., Mol. Immunol. , 30: 1361-1367 (1993)), or result in increased affinity for the antigen (Wallick et al. , J. Exp. Med. , 168: 1099-1109 (1988); Wright et al., EMBO J. , 10: 2717-2723 (1991)).

本發明之一態樣係關於生成糖基化位點突變體,其中結合蛋白之O或N連接之糖基化位點已突變。熟習此項技術者可使用標準熟知技術生成該等突變體。保留生物活性但具有增大或減小之結合活性之糖基化位點突變體為本發明之另一目標。 One aspect of the present invention relates to the generation of a glycosylation site mutant in which the O or N-linked glycosylation site of the binding protein has been mutated. Those skilled in the art can generate such mutants using standard well-known techniques. Glycation site mutants that retain biological activity but have increased or decreased binding activity are another object of the present invention.

在另一實施例中,本發明之抗體或抗原結合部分之糖基化經修飾。舉例而言,可製得非糖基化抗體(亦即抗體缺乏糖基化)。可改變糖基化以例如增加抗體對於抗原之親和力。該等碳水化合物修飾可藉由例如改變抗體序列內之一或多個糖基化位點來實現。舉例而言,可進行一或多個胺基酸取代,從而導致消除一或多個可變區域糖基化位點以藉此消除彼位點之糖基化。該非糖基化可增加抗體對於抗原之親和力。該方法進一步詳細描述於PCT公開案第WO 2003/016466號及美 國專利第5,714,350號及第6,350,861號中。 In another embodiment, the glycosylation of an antibody or antigen-binding portion of the invention is modified. For example, non-glycosylated antibodies can be made (ie, the antibodies lack glycosylation). Glycosylation can be altered to, for example, increase the affinity of an antibody for an antigen. Such carbohydrate modifications can be achieved, for example, by changing one or more glycosylation sites within the antibody sequence. For example, one or more amino acid substitutions can be made, resulting in elimination of one or more variable region glycosylation sites to thereby eliminate glycosylation at that site. This non-glycosylation can increase the affinity of the antibody for the antigen. This method is described in further detail in PCT Publication No. WO 2003/016466 and the United States National Patent Nos. 5,714,350 and 6,350,861.

或者或另外,可製得本發明之修飾結合蛋白,其具有改變類型之糖基化,諸如具有降低量之岩藻糖基殘基之低岩藻糖基化抗體(參見Kanda等人,J.Biotechnol.,130(3):300-310(2007))或具有增加之二等分GlcNAc結構之抗體。已證明該等改變之糖基化模式會增加抗體之ADCC能力。該等碳水化合物修飾可藉由例如在具有改變之糖基化機構之宿主細胞中表現該抗體來實現。具有改變之糖基化機構之細胞已在此項技術中描述且可用作藉以表現本發明之重組抗體之宿主細胞以由此產生具有改變之糖基化之抗體。參見例如Shields等人,J.Biol.Chem.,277:26733-26740(2002);Umana等人,「Engineered glycoforms of an antineuroblastoma IgG1 with optimized antibody-dependent cellular cytotoxic activity」,Nat.Biotechnol.,17:176-180(1999),以及歐洲公開案第EP 1 176 195號;PCT公開案第WO 03/035835號及第WO 99/54342號。 Alternatively or in addition, modified binding proteins of the invention can be made that have altered types of glycosylation, such as low fucosylated antibodies with reduced amounts of fucosyl residues (see Kanda et al., J. Biotechnol. , 130 (3): 300-310 (2007)) or antibodies with an increased bisected GlcNAc structure. These altered glycosylation patterns have been shown to increase the ADCC capabilities of antibodies. Such carbohydrate modifications can be achieved, for example, by expressing the antibody in a host cell with an altered glycosylation mechanism. Cells with altered glycosylation mechanisms have been described in the art and can be used as host cells by which to express the recombinant antibodies of the invention to thereby produce antibodies with altered glycosylation. See, for example, Shields et al., J. Biol. Chem. , 277: 26733-26740 (2002); Umana et al., "Engineered glycoforms of an antineuroblastoma IgG1 with optimized antibody-dependent cellular cytotoxic activity", Nat. Biotechnol. , 17: 176-180 (1999), and European Publications EP 1 176 195; PCT Publications WO 03/035835 and WO 99/54342.

蛋白質糖基化視相關蛋白質之胺基酸序列以及表現蛋白質之宿主細胞而定。不同有機體可產生不同糖基化酶(例如糖基轉移酶及糖苷酶),且具有不同可用受質(核苷酸糖)。歸因於該等因素,蛋白質糖基化模式及糖基殘基之組成可視表現特定蛋白質之宿主系統而不同。適用於本發明之糖基殘基可包括(但不限於)葡萄糖、半乳糖、甘露糖、岩藻糖、N-乙醯葡糖胺及唾液酸。糖基化結合蛋白較佳包含使糖基化模式為人類模式之糖基殘基。 Protein glycosylation depends on the amino acid sequence of the relevant protein and the host cell that expresses the protein. Different organisms can produce different glycosylases (such as glycosyltransferases and glycosidases) and have different available substrates (nucleotide sugars). Due to these factors, protein glycosylation patterns and the composition of glycosyl residues may vary depending on the host system that represents a particular protein. Glycosyl residues suitable for use in the present invention may include, but are not limited to, glucose, galactose, mannose, fucose, N-acetylglucosamine and sialic acid. The glycosylation-binding protein preferably comprises a glycosyl residue that renders the glycosylation mode to a human mode.

熟習此項技術者已知不同蛋白質糖基化可產生不同蛋白質特徵。舉例而言,在微生物宿主(諸如酵母)中產生且利用酵母內源性路徑進行糖基化之治療性蛋白質的功效與在哺乳動物細胞(諸如CHO細胞株)中表現之相同蛋白質相比可降低。該等醣蛋白亦可在人類中具有免疫原性且在投與之後展示縮短之活體內半衰期。人類及其他動物中之特 異性受體可識別特異性糖基殘基且促進蛋白質自血流快速清除。其他不良作用可包括蛋白質摺疊、溶解度、對蛋白酶之敏感度、運輸、轉運、區室化、分泌、由其他蛋白質或因子識別、抗原性或過敏原性之變化。因此,從業者可能偏好具有特定糖基化組成及模式之治療性蛋白質,例如與在人類細胞中或在預定個體動物之物種特異性細胞中所產生者相同或至少類似的糖基化組成及模式。 Those skilled in the art know that different protein glycosylation can produce different protein characteristics. For example, the efficacy of a therapeutic protein produced in a microbial host (such as yeast) and glycosylated using a yeast endogenous pathway can be reduced compared to the same protein expressed in mammalian cells (such as a CHO cell line) . These glycoproteins can also be immunogenic in humans and exhibit reduced half-lives in vivo after administration. Characteristics of humans and other animals Heterosexual receptors recognize specific glycosyl residues and promote rapid clearance of proteins from the bloodstream. Other adverse effects may include changes in protein folding, solubility, sensitivity to proteases, transport, transport, compartmentalization, secretion, recognition by other proteins or factors, antigenicity or allergenicity. Therefore, practitioners may prefer therapeutic proteins with specific glycosylation compositions and patterns, such as those that are the same or at least similar to those produced in human cells or in species-specific cells of predetermined individual animals .

表現與宿主細胞之糖基化蛋白不同之糖基化蛋白可藉由對宿主細胞進行遺傳修飾以表現異源糖基化酶來達成。使用此項技術中所知之技術,從業者可產生展現人類蛋白質糖基化之抗體或其抗原結合部分。舉例而言,已對酵母菌株進行遺傳修飾以表現非天然產生之糖基化酶,使得在此等酵母菌株中產生之糖基化蛋白(醣蛋白)展現與動物細胞、尤其人類細胞相同之蛋白質糖基化(美國公開案第2004/0018590號及第2002/0137134號)。 A glycosylated protein that behaves differently from the glycosylated protein of the host cell can be achieved by genetically modifying the host cell to express a heterologous glycosylase. Using techniques known in the art, practitioners can produce antibodies or antigen-binding portions thereof that exhibit glycosylation of human proteins. For example, yeast strains have been genetically modified to express non-naturally occurring glycosylation enzymes such that the glycosylated proteins (glycoproteins) produced in these yeast strains exhibit the same proteins as animal cells, especially human cells Glycosylation (US Publication Nos. 2004/0018590 and 2002/0137134).

除結合蛋白之外,本發明亦係關於對於本發明之該等結合蛋白具有特異性之抗個體基因型(抗Id)抗體。抗Id抗體為識別通常與另一抗體之抗原結合區相關之獨特決定子的抗體。抗Id可藉由以結合蛋白或其含有CDR之區域使動物免疫來製備。經免疫之動物識別免疫抗體之個體基因型決定子且對其作出反應並產生抗Id抗體。顯而易見,可較容易地生成併入DVD-Ig分子中之兩個或兩個以上親本抗體之抗個體基因型抗體;且藉由在此項技術中公認之方法(例如BIAcore、ELISA)確認結合研究以檢驗對於每一親本抗體之個體基因型具有特異性之抗個體基因型抗體在DVD-Ig之情形中亦識別個體基因型(例如抗原結合位點)。對於DVD-Ig之兩個或兩個以上抗原結合位點中之每一者具有特異性之抗個體基因型抗體提供量測患者血清中之人類DVD-Ig之DVD-Ig濃度的理想試劑。舉例而言,DVD-Ig濃度檢定可使用「夾層檢定ELISA形式」確立,其中第一抗原結合區之抗體經塗佈於固相 (例如BIAcore晶片、ELISA盤等)上,以沖洗緩衝液沖洗,與血清樣本一起培育,另一沖洗步驟且最終與另一抗原結合位點之另一抗個體基因型抗體一起培育,本身經酶標記以定量結合反應。在一實施例中,對於具有兩個以上不同結合位點之DVD-Ig,兩個最外層結合位點(最遠離及最接近恆定區)之抗個體基因型抗體將不僅輔助測定人類血清中之DVD-Ig濃度而且證明分子在活體內之完整性。每一抗Id抗體亦可用作「免疫原」以誘導在另一動物中之免疫反應,產生所謂的抗抗Id抗體。 In addition to binding proteins, the invention also relates to anti-idiotypic (anti-Id) antibodies specific for the binding proteins of the invention. An anti-Id antibody is an antibody that recognizes a unique determinant that is usually associated with the antigen-binding region of another antibody. Anti-Id can be prepared by immunizing an animal with a binding protein or its CDR-containing region. The immunized animal recognizes and responds to the genotype determinant of the immune antibody and produces an anti-Id antibody. Obviously, it is easier to generate anti-idiotypic antibodies that incorporate two or more parental antibodies into a DVD-Ig molecule; and binding is confirmed by methods recognized in the art (e.g., BIAcore, ELISA) Studies have been performed to examine that anti-idiotypic antibodies specific to the genotype of each parental antibody also recognize the genotype (eg, antigen-binding site) of the genotype in the case of DVD-Ig. Anti-idiotypic antibodies specific to each of two or more antigen-binding sites of DVD-Ig provide an ideal reagent for measuring the DVD-Ig concentration of human DVD-Ig in the serum of patients. For example, a DVD-Ig concentration assay can be established using a "sandwich assay ELISA format" in which antibodies to the first antigen-binding region are coated on a solid phase (Such as BIAcore wafers, ELISA disks, etc.), rinse with washing buffer, incubate with the serum sample, another rinse step and finally incubate with another anti-idiotypic antibody of another antigen binding site, itself by enzyme Label to quantify the binding reaction. In one embodiment, for a DVD-Ig with two or more different binding sites, the anti-idiotypic antibodies of the two outermost binding sites (farthest and closest to the constant region) will not only assist in the determination of The DVD-Ig concentration also proves the integrity of the molecule in vivo. Each anti-Id antibody can also be used as an "immunogen" to induce an immune response in another animal, producing so-called anti-anti-Id antibodies.

此外,熟習此項技術者應瞭解,可使用經遺傳工程改造以表現各種糖基化酶之宿主細胞文庫來表現相關蛋白質,使得該文庫之成員宿主細胞產生具有變異型糖基化模式之相關蛋白質。從業者可隨後選擇及分離具有特定新穎糖基化模式之相關蛋白質。具有經特定選擇之新穎糖基化模式之蛋白質較佳展現改良或改變之生物性質。 In addition, those skilled in the art should understand that a host cell library that has been genetically engineered to express various glycosylation enzymes can be used to express related proteins, so that member host cells of the library can produce related proteins with variant glycosylation patterns. . Practitioners can then select and isolate related proteins with specific novel glycosylation patterns. Proteins with a novel selected glycosylation pattern preferably exhibit improved or altered biological properties.

7. IL-1β結合蛋白之用途7. Uses of IL-1β binding protein

假定本發明之IL-1β結合蛋白或其抗原結合部分具有結合人類IL-1β之能力,則其可用於使用習知免疫檢定(諸如酶聯免疫吸附檢定(ELISA)、放射免疫檢定(RIA)或組織免疫組織化學)來偵測IL-1β(例如在諸如血清或血漿之生物樣本中)。本發明提供偵測生物樣本中之IL-1β的方法,其包含使生物樣本與本發明之結合蛋白或抗原結合部分接觸且偵測與IL-1β結合之結合蛋白(或抗原結合部分)或未經結合之結合蛋白(或結合部分),藉此偵測該生物樣本中之IL-1β。結合蛋白直接或間接經可偵測物質標記以有助於偵測經結合或未經結合之抗體。適合之可偵測物質包括各種酶、輔基、螢光材料、發光材料及放射性材料。適合之酶之實例包括辣根過氧化酶、鹼性磷酸酶、β-半乳糖苷酶或乙醯膽鹼酯酶;適合之輔基複合物之實例包括抗生蛋白鏈菌素/生物素及抗生物素蛋白/生物素;適合之螢光材料之實例包括傘酮 (umbelliferone)、螢光素、異硫氰酸螢光素、若丹明、二氯三嗪基胺螢光素、丹磺醯氯或藻紅素;發光材料之實例包括魯米諾(luminol);且適合之放射性材料之實例包括3H、14C、35S、90Y、99Tc、111In、125I、131I、177Lu、166Ho或153Sm。 Assuming that the IL-1β binding protein or antigen-binding portion thereof of the present invention has the ability to bind human IL-1β, it can be used to use conventional immunoassays such as enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), or Tissue immunohistochemistry) to detect IL-1β (for example in biological samples such as serum or plasma). The present invention provides a method for detecting IL-1β in a biological sample, which comprises contacting a biological sample with a binding protein or antigen-binding portion of the present invention and detecting the binding protein (or antigen-binding portion) or non-binding protein that binds to IL-1β. The bound binding protein (or binding moiety) is used to detect IL-1β in the biological sample. The binding protein is directly or indirectly labeled with a detectable substance to help detect bound or unbound antibodies. Suitable detectable substances include various enzymes, prosthetic groups, fluorescent materials, luminescent materials, and radioactive materials. Examples of suitable enzymes include horseradish peroxidase, alkaline phosphatase, β-galactosidase or acetylcholinesterase; examples of suitable prosthetic complexes include streptavidin / biotin and anti- Biotin protein / biotin; examples of suitable fluorescent materials include umbelliferone, fluorescein, fluorescein isothiocyanate, rhodamine, dichlorotriazinylamine fluorescein, sulfanil Chlorine or phycoerythrin; examples of luminescent materials include luminol; and examples of suitable radioactive materials include 3 H, 14 C, 35 S, 90 Y, 99 Tc, 111 In, 125 I, 131 I, 177 Lu, 166 Ho or 153 Sm.

替代標記結合蛋白,可藉由利用經可偵測物質標記之rh IL-1β標準物及未經標記之人類IL-1β結合蛋白的競爭免疫檢定來檢定生物流體中之人類IL-1β。在此檢定中,將生物樣本、經標記之rh IL-1β標準物及人類IL-1β結合蛋白組合且測定與未經標記之抗體結合的經標記rh IL-1β標準物的量。生物樣本中人類IL-1β之量與結合於IL-1β結合蛋白之經標記rh IL-1β標準物的量成反比。類似地,亦可藉由利用經可偵測物質標記之rh IL-1β標準物及未經標記之人類IL-1β結合蛋白的競爭免疫檢定來檢定生物流體中之人類IL-1β。 Instead of labeled binding proteins, human IL-1β in biological fluids can be assayed by competitive immunoassays using rh IL-1β standards labeled with detectable substances and unlabeled human IL-1β binding proteins. In this assay, a biological sample, a labeled rh IL-1β standard, and a human IL-1β binding protein are combined and the amount of labeled rh IL-1β standard bound to an unlabeled antibody is determined. The amount of human IL-1β in a biological sample is inversely proportional to the amount of labeled rh IL-1β standard bound to the IL-1β binding protein. Similarly, human IL-1β in biological fluids can also be assayed by competitive immunoassays using rh IL-1β standards labeled with detectable substances and unlabeled human IL-1β binding proteins.

本發明之結合蛋白及IL-1β結合部分較佳能夠在活體外及在活體內中和人類IL-1β活性。因此,本發明之該等結合蛋白及其IL-1β結合部分可用於例如在含有人類IL-1β之細胞培養物中、在人類個體中或在具有IL-1β與本發明抗體交叉反應之其他哺乳動物個體中抑制人類IL-1β活性。在一實施例中,本發明提供抑制人類IL-1β活性之方法,其包含使人類IL-1β與本發明之IL-1β結合蛋白或其結合部分接觸以使人類IL-1β活性得以抑制。舉例而言,在含有或疑似含有人類IL-1β之細胞培養物中,可將本發明之IL-1β結合蛋白或其結合部分添加至培養基中以抑制培養物中之人類IL-1β活性。 The binding protein and IL-1β binding portion of the present invention are preferably capable of neutralizing human IL-1β activity in vitro and in vivo. Thus, the binding proteins of the present invention and their IL-1β binding portions can be used, for example, in cell cultures containing human IL-1β, in human individuals, or in other mammals with IL-1β cross-reacting with the antibodies of the present invention Inhibition of human IL-1β activity in animal individuals. In one embodiment, the present invention provides a method for inhibiting human IL-1β activity, which comprises contacting human IL-1β with the IL-1β binding protein or a binding portion thereof of the present invention to inhibit human IL-1β activity. For example, in a cell culture containing or suspected of containing human IL-1β, the IL-1β binding protein or a binding portion thereof of the present invention can be added to a culture medium to inhibit human IL-1β activity in the culture.

在另一實施例中,本發明提供降低個體(宜來自罹患IL-1β活性為有害之疾病或病症之個體)中人類IL-1β活性的方法。本發明提供降低罹患該疾病或病症之個體中之IL-1β活性的方法,該方法包含向該個體投與本發明之抗體或抗體部分以使個體中之IL-1β活性得以降低。IL-1β較佳為人類IL-1β且個體為人類個體。或者,個體可為表現本發 明抗體所能夠結合之IL-1β的哺乳動物。此外,個體可為已引入IL-1β之哺乳動物(例如,藉由投與IL-1β或藉由表現IL-1β轉殖基因)。本發明之IL-1β結合蛋白可投與人類個體以用於治療目的。此外,本發明之結合蛋白可投與表現該抗體所能夠結合之IL-1β的非人類哺乳動物以用於獸醫目的或用作人類疾病之動物模型。關於後者,該等動物模型可用於評估本發明抗體之治療功效(例如,測試投藥劑量及時程)。 In another embodiment, the present invention provides a method for reducing human IL-1β activity in an individual, preferably from an individual suffering from a disease or condition in which IL-1β activity is harmful. The present invention provides a method for reducing IL-1β activity in an individual suffering from the disease or condition, which method comprises administering to the individual an antibody or antibody portion of the present invention such that the IL-1β activity in the individual is reduced. IL-1β is preferably human IL-1β and the individual is a human individual. Alternatively, the individual may Shows that mammals can bind IL-1β to antibodies. In addition, the individual may be a mammal to which IL-1β has been introduced (eg, by administration of IL-1β or by expression of an IL-1β transgenic gene). The IL-1β binding protein of the present invention can be administered to a human individual for therapeutic purposes. In addition, the binding protein of the present invention can be administered to a non-human mammal expressing IL-1β capable of binding to the antibody for veterinary purposes or as an animal model of human disease. With regard to the latter, these animal models can be used to assess the therapeutic efficacy of the antibodies of the invention (e.g., testing the dosage and time course of administration).

如本文所用之術語「IL-1β活性為有害的病症」意欲包括罹患病症之個體中之IL-1β的存在已展示或疑似造成病症之病理生理異常或為促成病症惡化之因素的疾病及其他病症。因此,IL-1β活性為有害的病症為其中降低IL-1β活性預期會減輕病症之症狀及/或進程的病症。該等病症可例如藉由罹患病症之個體之生物流體中的IL-1β濃度增加(例如個體之血清、血漿、滑液等中之IL-1β濃度增加)證實,其可例如使用如上所述之抗IL-1β抗體來偵測。可用本發明抗體治療之病症的非限制性實例包括下文關於本發明抗體之醫藥組合物之部分中所討論的彼等病症。 The term "IL-1β activity is a deleterious condition" as used herein is intended to include diseases and other conditions in which the presence of IL-1β in an individual suffering from the condition has been demonstrated or is suspected to cause pathophysiological abnormalities of the condition or to contribute to the deterioration of the condition . Thus, a condition in which IL-1β activity is deleterious is a condition in which a decrease in IL-1β activity is expected to reduce the symptoms and / or progression of the condition. Such conditions can be confirmed, for example, by an increase in the concentration of IL-1β in the biological fluid of the individual suffering from the condition (e.g., an increase in the concentration of IL-1β in the serum, plasma, synovial fluid, etc. of the individual), which can be, for example, using Anti-IL-1β antibody to detect. Non-limiting examples of conditions that can be treated with the antibodies of the invention include those conditions discussed below in the section on pharmaceutical compositions of the antibodies of the invention.

本發明之DVD-Ig可僅結合IL-1β或結合多個抗原(例如,人類IL-1β及另一非IL-1β抗原)。因此,DVD-Ig可阻斷或降低hu IL-1β之活性及另一標靶抗原之活性。該等其他標靶抗原可包括可溶性標靶(例如IL-1α)及細胞表面受體標靶(例如VEGFR、EGFR)。 The DVD-Ig of the present invention can bind only IL-1β or multiple antigens (eg, human IL-1β and another non-IL-1β antigen). Therefore, DVD-Ig can block or reduce the activity of hu IL-1β and the activity of another target antigen. Such other target antigens may include soluble targets (such as IL-la) and cell surface receptor targets (such as VEGFR, EGFR).

該等其他抗原包括(但不限於)在以下公用資料庫中列出之標靶,該等資料庫包括利用全球資訊網可獲得之資料庫且以引用的方式併入本文中。此等標靶資料庫包括:治療性標靶(http://xin.cz3.nus.edu.sg/group/cjttd/ttd.asp);細胞激素及細胞激素受體(http://www.cytokinewebfacts.com/,http://www.copewithcytokines.de/cope.cgi,及http://cmbi.bjmu.edu.cn/cmbidata/cgf/CGF_Database/ cytokine.medic.kumamoto-u.ac.jp/CFC/indexR.html);趨化因子(http://cytokine.medic.kumamoto-u.ac.jp/CFC/CK/Chemokine.html);趨化因子受體及GPCR(http://csp.medic.kumamoto-u.ac.jp/CSP/Receptor.html,http://www.gpcr.org/7tm/);嗅覺受體(http://senselab.med.yale.edu/senselab/ORDB/default.asp);受體(http://www.iuphar-db.org/iuphar-rd/list/index.htm);癌標靶(http://cged.hgc.jp/cgi-bin/input.cgi);作為潛在抗體標靶之所分泌蛋白質(http://spd.cbi.pku.edu.cn/);蛋白質激酶(http://spd.cbi.pku.edu.cn/),及人類CD標記物(http://content.labvelocity.com/tools/6/1226/CD_table_final_locked.pdf)及(Zola等人,「CD molecules 2005:human cell differentiation molecules」,Blood,106:3123-3126(2005))。 These other antigens include, but are not limited to, the targets listed in the following public databases, which include databases available through the World Wide Web and incorporated herein by reference. These target databases include: therapeutic targets (http://xin.cz3.nus.edu.sg/group/cjttd/ttd.asp); cytokines and cytokine receptors (http: // www. cytokinewebfacts.com/, http://www.copewithcytokines.de/cope.cgi, and http://cmbi.bjmu.edu.cn/cmbidata/cgf/CGF_Database/ cytokine.medic.kumamoto-u.ac.jp/ CFC / indexR.html); chemokines (http://cytokine.medic.kumamoto-u.ac.jp/CFC/CK/Chemokine.html); chemokine receptors and GPCRs (http: // csp. medic.kumamoto-u.ac.jp/CSP/Receptor.html, http://www.gpcr.org/7tm/); olfactory receptors (http://senselab.med.yale.edu/senselab/ORDB/ default.asp); receptor (http://www.iuphar-db.org/iuphar-rd/list/index.htm); cancer target (http://cged.hgc.jp/cgi-bin/input .cgi); secreted proteins as potential antibody targets (http://spd.cbi.pku.edu.cn/); protein kinases (http://spd.cbi.pku.edu.cn/), and Human CD markers (http://content.labvelocity.com/tools/6/1226/CD_table_final_locked.pdf) and (Zola et al., "CD molecules 2005: human cell differentiation molecules", Bl ood, 106: 3123-3126 (2005) ).

DVD-Ig適用作治療劑以同時阻斷兩個或兩種以上不同標靶(亦即人類IL-1β及一或多種其他非IL-1β標靶抗原)以增強功效/安全性及/或增加患者適用範圍(patient coverage)。該等標靶可包括可溶性標靶(TNF)及細胞表面受體標靶(VEGFR及EGFR)。 DVD-Ig is suitable as a therapeutic agent to block two or more different targets simultaneously (i.e. human IL-1β and one or more other non-IL-1β target antigens) to enhance efficacy / safety and / or increase Patient coverage. Such targets may include soluble targets (TNF) and cell surface receptor targets (VEGFR and EGFR).

另外,本發明之DVD-Ig可用於組織特異性傳遞(靶向組織標記物及疾病介體以便增強局部PK,因此達成較高功效及/或較低毒性),包括細胞內傳遞(靶向內在化受體及細胞內分子),傳遞至大腦內部(靶向轉鐵蛋白受體及CNS疾病介體以便穿過血腦障壁)。DVD-Ig亦可充當經由結合彼抗原之非中和抗原決定基而將抗原傳遞至特定位置以及增加抗原之半衰期的載體蛋白。此外,DVD-Ig可經設計以與植入患者中之醫學裝置物理連接或靶向此等醫學裝置(參見Burke等人,「Zotarolimus eluting stents」,Adv.Drug Deliv.Rev.,58(3):437-446 (2006);Hildebrand等人,「Surface coatings for biological activation and functionalization of medical devices」,Surface and Coatings Technology,200(22-23):6318-6324(2006);Wu等人,「Drug/device combinations for local drug therapies and infection prophylaxis」,Biomaterials,27:2450-2467(2006);Marques等人,「Mediation of the Cytokine Network in the Implantation of Orthopedic Devices」,第21章,Biodegradable Systems in Tissue Engineering and Regenerative Medicine,(Reis等人編)(CRC Press LLC,Boca Raton,2005)第377-397頁)。簡言之,將適當類型之細胞引導至醫學植入物之位點可促進正常組織功能治癒及恢復。或者,亦提供藉由與裝置偶合或靶向裝置之DVD-Ig來抑制在裝置植入後釋放之介體(包括(但不限於)細胞激素)。舉例而言,血管支架多年來已用於介入心臟病學中以清理阻塞之動脈及改良至心肌之血液流動。然而,已知常規裸金屬血管支架在一些患者中導致再狹窄(在經處理之區域中動脈再變窄)且可產生血塊。近來,已描述藉由捕捉在整個血液中循環之內皮祖細胞(EPC)來減少再狹窄且防止出現血塊的經抗CD34抗體塗佈之血管支架。內皮細胞為內襯於血管、允許血液平滑地流動之細胞。EPC黏著於血管支架之硬表面,形成平滑層,其不僅促進治癒而且防止再狹窄及血塊(先前與使用血管支架相關之併發症)(Aoki等人,J.Am.Coll.Cardiol.,45(10):1574-1579(2005))。除改良需要血管支架之患者之結果之外,對於需要心血管繞道手術之患者亦具有意義。舉例而言,以抗EPC抗體塗佈之修復血管(人工動脈)消除使用來自患者腿或臂之動脈以進行繞道移植術的需要。此將減少手術及麻醉時間,其轉而將減少冠狀動脈手術死亡。DVD-Ig以使得其結合於細胞表面標記物(諸如CD34)以及已塗佈於植入裝置上之蛋白質(或任何種類之抗原決定基,包括(但不限於)蛋白質、脂質及多醣)的方式來設計以有助於細胞募集。該等 方法一般亦可應用於其他醫學植入物。或者,可將DVD-Ig塗佈於醫學裝置上且在植入及自裝置釋放所有DVD後(或可能需要其他新鮮DVD-Ig之任何其他需要,包括已加載之DVD-Ig之老化及變性),裝置可藉由將新鮮DVD-Ig全身性投與患者而重新加載,其中DVD-Ig經設計以藉由一組結合位點結合於相關標靶(細胞激素、細胞表面標記物(諸如CD34)等)且藉由另一組結合位點結合於裝置上所塗佈之標靶(包括任何種類之蛋白質、抗原決定基,包括(但不限於)脂質、多醣及聚合物)。此技術具有擴大經塗佈植入物之適用性的優勢。 In addition, the DVD-Ig of the present invention can be used for tissue-specific delivery (targeting tissue markers and disease mediators to enhance local PK, thus achieving higher efficacy and / or lower toxicity), including intracellular delivery (targeting internal Receptors and intracellular molecules) to the brain (targeting transferrin receptors and CNS disease mediators to cross the blood-brain barrier). DVD-Ig can also serve as a carrier protein that delivers an antigen to a specific location and increases the half-life of the antigen via a non-neutralizing epitope that binds that antigen. In addition, DVD-Ig can be designed to physically connect to or target medical devices implanted in patients (see Burke et al., "Zotarolimus eluting stents", Adv. Drug Deliv. Rev., 58 (3) : 437-446 (2006); Hildebrand et al., "Surface coatings for biological activation and functionalization of medical devices", Surface and Coatings Technology , 200 (22-23): 6318-6324 (2006); Wu et al., "Drug / device combinations for local drug therapies and infection prophylaxis ", Biomaterials , 27: 2450-2467 (2006); Marques et al.," Mediation of the Cytokine Network in the Implantation of Orthopedic Devices ", Chapter 21, Biodegradable Systems in Tissue Engineering and Regenerative Medicine , (edited by Reis et al.) (CRC Press LLC, Boca Raton, 2005) pp. 377-397). In short, directing an appropriate type of cell to the site of a medical implant can promote healing and recovery of normal tissue function. Alternatively, mediators (including, but not limited to, cytokines) that inhibit the release of a device after device implantation by DVD-Ig coupled to the device or targeted to the device are also provided. For example, vascular stents have been used in interventional cardiology for many years to clear blocked arteries and improve blood flow to the heart muscle. However, it is known that conventional bare metal vascular stents cause restenosis (re-narrowing of arteries in treated areas) and can produce blood clots in some patients. Recently, anti-CD34 antibody-coated vascular stents that reduce restenosis and prevent the occurrence of blood clots by capturing endothelial progenitor cells (EPC) circulating throughout the blood have been described. Endothelial cells are cells lined with blood vessels that allow blood to flow smoothly. EPC adheres to the hard surface of the vascular stent, forming a smooth layer that not only promotes healing but also prevents restenosis and blood clots (complications previously associated with the use of vascular stents) (Aoki et al., J. Am. Coll. Cardiol. , 45 ( 10): 1574-1579 (2005)). In addition to improving outcomes for patients requiring vascular stents, it also has implications for patients requiring cardiovascular bypass surgery. For example, an anti-EPC antibody-coated repair blood vessel (artificial artery) eliminates the need to use arteries from a patient's leg or arm for bypass grafting. This will reduce surgery and anesthesia time, which in turn will reduce coronary surgery deaths. DVD-Ig in a manner that allows it to bind to cell surface markers (such as CD34) and proteins (or any kind of epitope, including, but not limited to, proteins, lipids, and polysaccharides) that have been coated on implanted devices Designed to facilitate cell recruitment. These methods are also generally applicable to other medical implants. Alternatively, the DVD-Ig can be coated on a medical device and after all DVDs are implanted and released from the device (or any other need that may require other fresh DVD-Ig, including aging and denaturation of the loaded DVD-Ig) The device can be reloaded by systemically administering fresh DVD-Ig to a patient, where DVD-Ig is designed to bind to related targets (cytokines, cell surface markers (such as CD34) through a set of binding sites). Etc.) and bound to the coated target (including any kind of protein, epitope, including (but not limited to) lipids, polysaccharides and polymers) by another set of binding sites. This technique has the advantage of expanding the applicability of coated implants.

A. DVD-Ig在各種疾病中之用途A. Use of DVD-Ig in various diseases

本發明之DVD-Ig分子亦適用作治療各種疾病之治療性分子。該等DVD分子可結合一或多個與特定疾病有關之標靶。各種疾病中之該等標靶之實例描述如下。 The DVD-Ig molecules of the present invention are also suitable as therapeutic molecules for treating various diseases. The DVD molecules can bind one or more targets related to a particular disease. Examples of such targets in various diseases are described below.

人類自體免疫及發炎反應 Human autoimmune and inflammatory response

在一態樣中,本發明之DVD-Ig結合蛋白能夠結合人類IL-1β及一或多種涉及一般性自體免疫及發炎反應之抗原,包括C5、CCL1(I-309)、CCL11(嗜酸性粒細胞趨化因子)、CCL13(mcp-4)、CCL15(MIP-1d)、CCL16(HCC-4)、CCL17(TARC)、CCL18(PARC)、CCL19、CCL2(mcp-1)、CCL20(MIP-3a)、CCL21(MIP-2)、CCL23(MPIF-1)、CCL24(MPIF-2/嗜酸性粒細胞趨化因子-2)、CCL25(TECK)、CCL26、CCL3(MIP-1a)、CCL4(MIP-1b)、CCL5(RANTES)、CCL7(mcp-3)、CCL8(mcp-2)、CXCL1、CXCL10(IP-10)、CXCL11(I-TAC/IP-9)、CXCL12(SDF1)、CXCL13、CXCL14、CXCL2、CXCL3、CXCL5(ENA-78/LIX)、CXCL6(GCP-2)、CXCL9、IL13、IL8、CCL13(mcp-4)、CCR1、CCR2、CCR3、CCR4、CCR5、CCR6、CCR7、CCR8、CCR9、CX3CR1、IL8RA、XCR1(CCXCR1)、IFNA2、IL10、IL13、IL17C、IL1A、IL1B、IL1F10、IL1F5、 IL1F6、IL1F7、IL1F8、IL1F9、IL22、IL5、IL8、IL9、LTA、LTB、MIF、SCYE1(內皮單核細胞-活化細胞激素)、SPP1、TNF、TNFSF5、IFNA2、IL10RA、IL10RB、IL13、IL13RA1、IL5RA、IL9、IL9R、ABCF1、BCL6、C3、C4A、CEBPB、CRP、ICEBERG、IL1R1、IL1RN、IL8RB、LTB4R、TOLLIP、FADD、IRAK1、IRAK2、MYD88、NCK2、TNFAIP3、TRADD、TRAF1、TRAF2、TRAF3、TRAF4、TRAF5、TRAF6、ACVR1、ACVR1B、ACVR2、ACVR2B、ACVRL1、CD28、CD3E、CD3G、CD3Z、CD69、CD80、CD86、CNR1、CTLA4、CYSLTR1、FCER1A、FCER2、FCGR3A、GPR44、HAVCR2、OPRD1、P2RX7、TLR2、TLR3、TLR4、TLR5、TLR6、TLR7、TLR8、TLR9、TLR10、BLR1、CCL1、CCL2、CCL3、CCL4、CCL5、CCL7、CCL8、CCL11、CCL13、CCL15、CCL16、CCL17、CCL18、CCL19、CCL20、CCL21、CCL22、CCL23、CCL24、CCL25、CCR1、CCR2、CCR3、CCR4、CCR5、CCR6、CCR7、CCR8、CCR9、CX3CL1、CX3CR1、CXCL1、CXCL2、CXCL3、CXCL5、CXCL6、CXCL10、CXCL11、CXCL12、CXCL13、CXCR4、GPR2、SCYE1、SDF2、XCL1、XCL2、XCR1、AMH、AMHR2、BMPR1A、BMPR1B、BMPR2、C19orf10(IL27w)、CER1、CSF1、CSF2、CSF3、DKFZp451J0118、FGF2、GFI1、IFNA1、IFNB1、IFNG、IGF1、IL1A、IL1B、IL1R1、IL1R2、IL2、IL2RA、IL2RB、IL2RG、IL3、IL4、IL4R、IL5、IL5RA、IL6、IL6R、IL6ST、IL7、IL8、IL8RA、IL8RB、IL9、IL9R、IL10、IL10RA、IL10RB、IL11、IL11RA、IL12A、IL12B、IL12RB1、IL12RB2、IL13、IL13RA1、IL13RA2、IL15、IL15RA、IL16、IL17、IL17R、IL18、IL18R1、IL19、IL20、KITLG、LEP、LTA、LTB、LTB4R、LTB4R2、LTBR、MIF、NPPB、PDGFB、TBX21、 TDGF1、TGFA、TGFB1、TGFB1I1、TGFB2、TGFB3、TGFBI、TGFBR1、TGFBR2、TGFBR3、TH1L、TNF、TNFRSF1A、TNFRSF1B、TNFRSF7、TNFRSF8、TNFRSF9、TNFRSF11A、TNFRSF21、TNFSF4、TNFSF5、TNFSF6、TNFSF11、VEGF、ZFPM2及RNF110(ZNF144)。 In one aspect, the DVD-Ig binding protein of the present invention is capable of binding human IL-1β and one or more antigens involved in general autoimmune and inflammatory responses, including C5, CCL1 (I-309), CCL11 (eosinophilic) Granulocyte chemokine), CCL13 (mcp-4), CCL15 (MIP-1d), CCL16 (HCC-4), CCL17 (TARC), CCL18 (PARC), CCL19, CCL2 (mcp-1), CCL20 (MIP -3a), CCL21 (MIP-2), CCL23 (MPIF-1), CCL24 (MPIF-2 / eosinophil chemokine-2), CCL25 (TECK), CCL26, CCL3 (MIP-1a), CCL4 (MIP-1b), CCL5 (RANTES), CCL7 (mcp-3), CCL8 (mcp-2), CXCL1, CXCL10 (IP-10), CXCL11 (I-TAC / IP-9), CXCL12 (SDF1), CXCL13, CXCL14, CXCL2, CXCL3, CXCL5 (ENA-78 / LIX), CXCL6 (GCP-2), CXCL9, IL13, IL8, CCL13 (mcp-4), CCR1, CCR2, CCR3, CCR4, CCR5, CCR6, CCR7 , CCR8, CCR9, CX3CR1, IL8RA, XCR1 (CCXCR1), IFNA2, IL10, IL13, IL17C, IL1A, IL1B, IL1F10, IL1F5, IL1F6, IL1F7, IL1F8, IL1F9, IL22, IL5, IL8, IL9, LTA, LTB, MIF, SCYE1 (endothelial monocyte-activated cytokine), SPP1, TNF, TNFSF5, IFNA2, IL10RA, IL10RB, IL13, IL13RA1, IL5RA, IL9, IL9R, ABCF1, BCL6, C3, C4A, CEBPB, CRP, ICEBERG, IL1R1, IL1RN, IL8RB, LTB4R, TOLLIP, FADD, IRAK1, IRAK2, MYD88, NCK2, TNFAIP3, TRADD, TRAF1, TRAF2, TRAF3, TRAF4, TRAF5, TRAF6, ACVR1, ACVR1B, ACVR2, ACVR2B, ACVRL1, CD28, CD3E, CD3G, CD3Z, CD69, CD80, CD86, CNR1, CTLA4, CYSLTR1, FCER1A, FCER2, FCGR3A, GPR44, HAVCR2, OPRD1, P2RX7, TLR2, TLR3, TLR4, TLR5, TLR6, TLR7, TLR8, TLR9, TLR10, BLR1, CCL1, CCL2, CCL3, CCL4, CCL5, CCL7, CCL8, CCL11, CCL13, CCL15, CCL16, CCL17, CCL18, CCL19, CCL20, CCL21, CCL22, CCL23, CCL24, CCL25, CCR1, CCR2, CCR3, CCR4, CCR5, CCR6, CCR7, CCR8, CCR9, CX3CL1, CX3CR1, CXCL1, CXCL2, CXCL3, CXCL5, CXCL6, CXCL10, CXCL12, CXCL11 CXCR4, GPR2, SCYE1, SDF2, XCL1, XCL 2, XCR1, AMH, AMHR2, BMPR1A, BMPR1B, BMPR2, C19orf10 (IL27w), CER1, CSF1, CSF2, CSF3, DKFZp451J0118, FGF2, GFI1, IFNA1, IFNB1, IFNG, IGF1, IL1A, IL1B, IL1R1, IL1R2, IL2 , IL2RA, IL2RB, IL2RG, IL3, IL4, IL4R, IL5, IL5RA, IL6, IL6R, IL6ST, IL7, IL8, IL8RA, IL8RB, IL9, IL9R, IL10, IL10RA, IL10RB, IL11, IL11RA, IL12A, IL12B, IL12RB1 , IL12RB2, IL13, IL13RA1, IL13RA2, IL15, IL15RA, IL16, IL17, IL17R, IL18, IL18R1, IL19, IL20, KITLG, LEP, LTA, LTB, LTB4R, LTB4R2, LTBR, MIF, NPPB, PDGFB, TFX21, TDGF1, TGFA, TGFB1, TGFB1I1, TGFB2, TGFB3, TGFBI, TGFBR1, TGFBR2, TGFBR3, TH1L, TNF, TNFRSF1A, TNFRSF1B, TNFRSF7, TNFRSF8, TNFRSF9, TNFRSF11A, TNFRSF21, TNFSF4, TNFSF5, TNFSF6, TNFSF211, VEGF RNF110 (ZNF144).

哮喘asthma

過敏性哮喘之特徵在於存在嗜伊紅血球過多症、杯狀細胞化生、上皮細胞變化、氣管過度反應(AHR),及Th2及Th1細胞激素表現,以及升高之血清IgE含量。現在廣泛接受氣管發炎為構成哮喘之發病機制基礎之關鍵因素,其涉及諸如T細胞、B細胞、嗜伊紅細胞、肥大細胞及巨噬細胞之發炎細胞與其分泌介體(包括細胞激素及趨化因子)之複雜相互作用。皮質類固醇為當今哮喘之最重要的消炎治療,然而其作用機制為非特異性的且存在安全顧慮,尤其在年幼患者群體中。因此,批准開發更具特異性且靶向之療法。 Allergic asthma is characterized by the presence of eosinophilia, goblet cell metaplasia, epithelial cell changes, tracheal overreaction (AHR), Th2 and Th1 cytokine performance, and elevated serum IgE levels. Tracheitis is now widely accepted as a key factor forming the basis of the pathogenesis of asthma. It involves inflammatory cells such as T cells, B cells, eosinophils, mast cells, and macrophages and their secreting mediators, including cytokines and chemokines. ) Complex interactions. Corticosteroids are the most important anti-inflammatory treatment for asthma today, but their mechanism of action is non-specific and there are safety concerns, especially in the young patient population. Therefore, the development of more specific and targeted therapies is approved.

可評估發炎及AHR兩者之動物模型(諸如OVA誘導之哮喘小鼠模型)在此項技術中為已知的且可用以測定各種DVD-Ig分子治療哮喘之能力。研究哮喘之動物模型揭示於Coffman等人,J.Exp.Med.,201(12):1875-1879(2005);Lloyd等人,Adv.Immunol.,77:263-295(2001);Boyce等人,J.Exp.Med.,201(12):1869-1873(2005);及Snibson等人,Clin.Exp.Allergy,35(2):146-152(2005)中。除此等標靶對之常規安全性評估之外,可批准對免疫抑止程度之特定測試且其有助於選擇最佳標靶對(參見Luster等人,Toxicology,92(1-3):229-243(1994);Descotes,J.,Develop.Biol.Standard.,77:99-102(1992);Hart等人,J.Allergy Clin.Immunol.,108(2):250-257(2001))。 Animal models that can evaluate both inflammation and AHR, such as OVA-induced asthma mouse models, are known in the art and can be used to determine the ability of various DVD-Ig molecules to treat asthma. Animal models for studying asthma are disclosed in Coffman et al. , J. Exp. Med., 201 (12): 1875-1879 (2005); Lloyd et al., Adv. Immunol., 77: 263-295 (2001); Boyce et al. People, J. Exp. Med., 201 (12): 1869-1873 (2005); and Snibson et al., Clin . Exp. Allergy, 35 (2): 146-152 (2005). In addition to the routine safety assessment of these target pairs, specific tests for the extent of immunosuppression can be approved and it helps to select the best target pair (see Luster et al., Toxicology , 92 (1-3): 229 -243 (1994); Descotes, J., Develop. Biol. Standard. , 77: 99-102 (1992); Hart et al., J. Allergy Clin. Immunol. , 108 (2): 250-257 (2001) ).

本發明之一態樣係關於能夠結合IL-1β及一或多個(例如兩個)選自由以下組成之群之標靶的DVD-Ig分子:IL-4、IL-5、IL-8、IL-9、IL- 13、IL-18、IL-5R(α)、TNFSF4、IL-4R(α)、干擾素α、嗜酸性粒細胞趨化因子、TSLP、PAR-2、PGD2及IgE。一實施例包括作為有益於治療哮喘之治療劑的雙重特異性抗IL-1β/IL-1α DVD-Ig。 One aspect of the present invention relates to a DVD-Ig molecule capable of binding to IL-1β and one or more (eg, two) targets selected from the group consisting of: IL-4, IL-5, IL-8, IL-9, IL- 13. IL-18, IL-5R (α), TNFSF4, IL-4R (α), interferon α, eosinophil chemokine, TSLP, PAR-2, PGD2 and IgE. One embodiment includes dual-specific anti-IL-1β / IL-1α DVD-Ig as a therapeutic agent beneficial for the treatment of asthma.

類風濕性關節炎(RA)Rheumatoid arthritis (RA)

類風濕性關節炎(RA)為全身性疾病,其特徵在於關節滑膜中之慢性發炎反應且與軟骨退化及關節旁骨骼侵蝕相關。許多促發炎性細胞激素(包括TNF、趨化因子及生長因子)表現於患病關節中。將抗TNF抗體或sTNFR融合蛋白全身性投與RA之小鼠模型展示具消炎性且具關節保護性。包括IL-1β之多種細胞激素牽涉於RA中。RA患者中之TNF活性藉由靜脈內投與之英利昔單抗(嵌合抗TNF mAb)而阻斷之臨床調查研究(Harriman等人,「Summary of clinical trials in rheumatoid arthritis using infliximab,an anti-TNFalpha treatment」,Ann.Rheum.Dis.,58(增刊1):I61-I64(1999))為TNF調節IL-6、IL-8、MCP-1及VEGF產生、免疫及發炎細胞至關節中之募集、血管生成及基質金屬蛋白酶-1及基質金屬蛋白酶-3之血液含量的降低提供證據。對類風濕性關節炎中之發炎路徑之更好瞭解使得鑑別與類風濕性關節炎有關之其他治療性標靶。諸如介白素-6拮抗劑(IL-6受體抗體MRA,由Chugai,Roche開發(參見Nishimoto等人,Arthritis Rheum.,50(6):1761-1769(2004))、CTLA4Ig(阿巴西普(abatacept),Genovese等人,「Abatacept for rheumatoid arthritis refractory to tumor necrosis factor alpha inhibition」,N.Engl.J.Med.,353:1114-1123(2005))及抗B細胞療法(利妥昔單抗,Okamoto等人,「Rituximab for rheumatoid arthritis」,N.Engl.J.Med.,351:1909(2004))之有希望之治療在去年已在隨機化對照試驗中經測試。已鑑別IL-1β及其他細胞激素(諸如IL-15及IL-18)在使用RA動物模型中起作用(治療性抗體HuMax-IL_15、AMG 714,參見Baslund等人,Arthritis Rheum.,52(9):2686-2692 (2005))。組合抗TNF及另一介體(該IL-1β)之雙重特異性抗體療法具有增強臨床功效及/或患者適用範圍之巨大潛力。舉例而言,阻斷TNF及VEGF兩者可潛在地根除皆與RA之病理生理異常有關之發炎及血管生成。亦涵蓋能夠阻斷IL-1α及IL-1β之DVD-Ig結合蛋白。除此等標靶對之常規安全性評估之外,可批准對免疫抑止程度之特定測試且有助於選擇最佳標靶對(參見Luster等人,Toxicology,92(1-3):229-243(1994);Descotes等人,Develop.Biol.Standard.,77:99-102(1992);Hart等人,J.Allergy Clin.Immunol.,108(2):250-257(2001))。可使用臨床前動物RA模型(諸如膠原蛋白誘導之關節炎小鼠模型)來評估DVD Ig分子是否適用於治療類風濕性關節炎。其他適用模型亦為此項技術中所熟知(參見Brand,D.D.,Comp.Med.,55:114-122(2005))。基於親本抗體對於人類及小鼠直系同源物(othologue)之交叉反應性(例如對於人類及小鼠TNF、人類及小鼠IL-15等之反應性),小鼠CIA模型中之驗證研究可以「匹配代用抗體」來源之DVD-Ig分子進行。簡言之,基於兩個(或兩個以上)小鼠標靶特異性抗體之DVD-Ig可在可能之程度上與用於人類DVD-Ig構築之親本人類或人類化抗體之特徵匹配(類似親和力、類似中和效能、類似半衰期等)。 Rheumatoid arthritis (RA) is a systemic disease characterized by a chronic inflammatory response in the joint synovium and is associated with cartilage degradation and para-articular bone erosion. Many pro-inflammatory cytokines (including TNF, chemokines, and growth factors) appear in diseased joints. A mouse model of systemic administration of anti-TNF antibody or sTNFR fusion protein to RA has been shown to be anti-inflammatory and joint-protective. A variety of cytokines, including IL-1β, are implicated in RA. Clinical investigation of blocking TNF activity in RA patients by intravenous administration of infliximab (chimeric anti-TNF mAb) (Harriman et al., "Summary of clinical trials in rheumatoid arthritis using infliximab, an anti- "TNFalpha treatment", Ann.Rheum.Dis. , 58 (Suppl. 1): I61-I64 (1999)) is a TNF that regulates IL-6, IL-8, MCP-1 and VEGF production, immune and inflammatory cells to the joints Recruitment, angiogenesis, and reduced blood levels of matrix metalloproteinase-1 and matrix metalloproteinase-3 provide evidence. A better understanding of the inflammatory pathways in rheumatoid arthritis has led to the identification of other therapeutic targets related to rheumatoid arthritis. Such as interleukin-6 antagonists (IL-6 receptor antibody MRA, developed by Chugai, Roche (see Nishimoto et al., Arthritis Rheum., 50 (6): 1761-1769 (2004)), CTLA4Ig (Abapapp (abatacept), Genovese et al., "Abatacept for rheumatoid arthritis refractory to tumor necrosis factor alpha inhibition", N. Engl. J. Med. , 353: 1114-1123 (2005)) and anti-B cell therapy (rituximab Anti-Okamoto et al., "Rituximab for rheumatoid arthritis", N. Engl. J. Med. , 351: 1909 (2004)) promising treatments have been tested in randomized controlled trials last year. IL-Identified 1β and other cytokines (such as IL-15 and IL-18) play a role in the use of RA animal models (therapeutic antibodies HuMax-IL_15, AMG 714, see Baslund et al., Arthritis Rheum. , 52 (9): 2686- 2692 (2005)). Dual-specific antibody therapies combining anti-TNF and another mediator (the IL-1β) have great potential to enhance clinical efficacy and / or patient applicability. For example, blocking both TNF and VEGF Potentially eradicates inflammation and angiogenesis that are related to pathophysiological abnormalities of RA. It also covers the ability to block IL-1 α- and IL-1β DVD-Ig binding proteins. In addition to the routine safety assessment of these target pairs, specific tests for the extent of immunosuppression can be approved and help to select the best target pair (see Luster et al. Toxicology , 92 (1-3): 229-243 (1994); Descotes et al., Develop. Biol. Standard. , 77: 99-102 (1992); Hart et al., J. Allergy Clin. Immunol. , 108 (2): 250-257 (2001)). Preclinical animal RA models (such as a collagen-induced arthritis mouse model) can be used to evaluate whether DVD Ig molecules are suitable for treating rheumatoid arthritis. Other applicable models are also available. This technique is well known (see Brand, DD, Comp. Med. , 55: 114-122 (2005)). Based on the cross-reactivity of parental antibodies to human and mouse orthologs (e.g., othologue) (e.g., For the reactivity of human and mouse TNF, human and mouse IL-15, etc.), validation studies in mouse CIA models can be performed with "matching substitute antibody" DVD-Ig molecules. In short, DVD-Ig based on two (or more) small mouse target-specific antibodies can to the extent possible match the characteristics of a parent human or humanized antibody used in human DVD-Ig construction (similar to Affinity, similar neutralizing potency, similar half-life, etc.).

在一實施例中,本發明之結合人類IL-1β及另一非IL-1β標靶之DVD-Ig亦可用於治療其他IL-1β起作用之疾病。該等疾病包括(但不限於)SLE、多發性硬化(MS)、敗血症、各種神經疾病及癌症(包括子宮頸癌、乳癌、胃癌)。下文亦提供IL-1β起作用之疾病及病症的更詳盡清單。 In one embodiment, the DVD-Ig of the present invention combining human IL-1β and another non-IL-1β target can also be used to treat other diseases where IL-1β functions. These diseases include (but are not limited to) SLE, multiple sclerosis (MS), sepsis, various neurological diseases and cancers (including cervical cancer, breast cancer, gastric cancer). A more exhaustive list of diseases and conditions where IL-1β functions is also provided below.

本發明之一實施例係關於能夠結合人類IL-1β及一或多個選自由以下組成之群的標靶的DVD-Ig分子:IL-1α、TNFα、IL-12、TWEAK、IL-23、CXCL13、CD40、CD40L、IL-18、VEGF、VLA-4、TNFβ、CD45RB、CD200、IFN-γ、GM-CSF、FGF、C5、CD52、 硬骨素(sclerostin)及CCR2。 One embodiment of the present invention relates to a DVD-Ig molecule capable of binding human IL-1β and one or more targets selected from the group consisting of: IL-1α, TNFα, IL-12, TWEAK, IL-23, CXCL13, CD40, CD40L, IL-18, VEGF, VLA-4, TNFβ, CD45RB, CD200, IFN-γ, GM-CSF, FGF, C5, CD52, Sclerostin and CCR2.

全身性紅斑狼瘡(SLE)Systemic lupus erythematosus (SLE)

SLE之免疫致病性特點為多株B細胞活化,其導致高球蛋白血症、自體抗體產生及免疫複合物形成。主要異常似乎為由於普遍化T細胞失調而使T細胞不能抑制所禁止之B細胞純系。另外,B細胞與T細胞相互作用藉由若干細胞激素(諸如IL-10)以及共刺激分子(諸如CD40及CD40L、B7及CD28及CTLA-4)而促進,其引發第二信號。此等相互作用連同免疫複合物及細胞凋亡材料之吞噬細胞清除之削弱使免疫反應得以保持且導致組織損傷。 The immunopathogenicity of SLE is the activation of multiple B cells, which results in hyperglobulinemia, autoantibody production, and immune complex formation. The main abnormality appears to be the inability of T cells to inhibit forbidden B cell pure lines due to the widespread T cell imbalance. In addition, B-cell and T-cell interactions are promoted by several cytokines (such as IL-10) and co-stimulatory molecules (such as CD40 and CD40L, B7 and CD28 and CTLA-4), which trigger a second signal. These interactions, along with the weakening of phagocytic clearance of immune complexes and apoptotic materials, maintain the immune response and cause tissue damage.

在一態樣中,本發明之DVD-Ig結合蛋白能夠結合人類IL-1β及一或多種牽涉於SLE中之以下抗原:B細胞靶向療法:CD-20、CD-22、CD-19、CD28、CD4、CD80、HLA-DRA、IL10、IL2、IL4、TNFRSF5、TNFRSF6、TNFSF5、TNFSF6、BLR1、HDAC4、HDAC5、HDAC7A、HDAC9、ICOSL、IGBP1、MS4A1、RGS1、SLA2、CD81、IFNB1、IL10、TNFRSF5、TNFRSF7、TNFSF5、AICDA、BLNK、GALNAC4S-6ST、HDAC4、HDAC5、HDAC7A、HDAC9、IL10、IL11、IL4、INHA、INHBA、KLF6、TNFRSF7、CD28、CD38、CD69、CD80、CD83、CD86、DPP4、FCER2、IL2RA、TNFRSF8、TNFSF7、CD24、CD37、CD40、CD72、CD74、CD79A、CD79B、CR2、IL1R2、ITGA2、ITGA3、MS4A1、ST6GAL1、CD1C、CHST10、HLA-A、HLA-DRA及NT5E;協同刺激信號:CTLA4或B7.1/B7.2;抑制B細胞存活:BlyS、BAFF;補體不活化:C5;細胞激素調節:關鍵原理為任何組織中之淨生物反應為促發炎性或消炎細胞激素之區域含量之間之平衡的結果(參見Sfikakis等人,Curr.Opin.Rheumatol.,17:550-557(2005))。SLE視為具有經證明血清IL-4、IL-6、IL-10升高之Th-2驅動之疾病。亦涵蓋能夠結合一 或多個選自由IL-4、IL-6、IL-10、IFN-α及TNF-α組成之群之標靶的DVD Ig。本文中討論之標靶之組合將增強SLE之治療功效,其可在許多狼瘡臨床前模型中測試(參見Peng S.L.,Methods Mol.Med.,102:227-272(2004))。基於親本抗體對於人類及小鼠直系同源物之交叉反應性(例如對於人類及小鼠CD20、人類及小鼠干擾素α等之反應性),小鼠狼瘡模型中之驗證研究可以「匹配代用抗體」來源之DVD-Ig分子進行;簡言之,基於兩個(或兩個以上)小鼠標靶特異性抗體之DVD-Ig可在可能之程度上與用於人類DVD-Ig構築之親本人類或人類化抗體之特徵匹配(類似親和力、類似中和效能、類似半衰期等)。 In one aspect, the DVD-Ig binding protein of the present invention is capable of binding human IL-1β and one or more of the following antigens involved in SLE: B cell targeted therapy: CD-20, CD-22, CD-19, CD28, CD4, CD80, HLA-DRA, IL10, IL2, IL4, TNFRSF5, TNFRSF6, TNFSF5, TNFSF6, BLR1, HDAC4, HDAC5, HDAC7A, HDAC9, ICOSL, IGBP1, MS4A1, RGS1, SLA2, CD81, IFNB1, IL10, TNFRSF5, TNFRSF7, TNFSF5, AICDA, BLNK, GANLAC4S-6ST, HDAC4, HDAC5, HDAC7A, HDAC9, IL10, IL11, IL4, INHA, INHBA, KLF6, TNFRSF7, CD28, CD38, CD69, CD80, CD83, CD86, DPP4, FCER2, IL2RA, TNFRSF8, TNFSF7, CD24, CD37, CD40, CD72, CD74, CD79A, CD79B, CR2, IL1R2, ITGA2, ITGA3, MS4A1, ST6GAL1, CD1C, CHST10, HLA-A, HLA-DRA and NT5E; synergistic stimulation Signal: CTLA4 or B7.1 / B7.2; Inhibition of B cell survival: BlyS, BAFF; Complement inactivation: C5; Cytokine regulation: The key principle is that the net biological response in any tissue is a pro-inflammatory or anti-inflammatory cytokine The result of a balance between regional content (see Sfikakis et al., Curr. Opin. Rheumatol. , 17: 550-557 (2005)). SLE is considered a Th-2 driven disease with a proven increase in serum IL-4, IL-6, and IL-10. Also encompassed are DVD Igs capable of binding one or more targets selected from the group consisting of IL-4, IL-6, IL-10, IFN-α and TNF-α. The combination of targets discussed herein will enhance the therapeutic efficacy of SLE, which can be tested in many preclinical models of lupus (see Peng SL, Methods Mol. Med. , 102: 227-272 (2004)). Based on the cross-reactivity of parental antibodies to human and mouse orthologs (e.g., reactivity to human and mouse CD20, human and mouse interferon alpha, etc.), validation studies in mouse lupus models can be `` matched "Substituting antibodies" from DVD-Ig molecules; in short, DVD-Ig based on two (or more) mouse-specific target antibodies can be used to the extent possible for human DVD-Ig constructs The characteristics of the human or humanized antibody are matched (similar affinity, similar neutralizing potency, similar half-life, etc.).

多發性硬化症(MS)Multiple Sclerosis (MS)

多發性硬化症(MS)為病因基本上未知之複雜人類自體免疫型疾病。在整個神經系統內之髓磷脂鹼性蛋白(MBP)之免疫學破壞為多發性硬化症之主要病理。MS為具有複雜病理之疾病,其涉及CD4+及CD8+ T細胞之浸潤及中樞神經系統內之反應。已描述在MS中之細胞激素、反應性氮物質及共刺激分子在CNS中之表現。主要考慮因素為造成自體免疫性發展之免疫學機制。詳言之,抗原表現、細胞激素與白血球相互作用及有助於平衡/調節其他T細胞(諸如Th1及Th2細胞)之調節性T細胞為治療性標靶鑑別之重要領域。 Multiple sclerosis (MS) is a complex human autoimmune disease with a largely unknown etiology. The immunological destruction of myelin basic protein (MBP) throughout the nervous system is the main pathology of multiple sclerosis. MS is a disease with a complex pathology that involves the infiltration of CD4 + and CD8 + T cells and responses within the central nervous system. The performance of cytokines, reactive nitrogen species, and costimulatory molecules in CNS in MS has been described. The main consideration is the immunological mechanism that causes autoimmune development. In particular, the expression of antigens, the interaction of cytokines with white blood cells, and regulatory T cells that help balance / regulate other T cells such as Th1 and Th2 cells are important areas for therapeutic target identification.

IL-12為藉由APC產生且促進Th1效應細胞分化之促發炎性細胞激素。IL-12在患有MS之患者之顯現病灶中以及在EAE感染之動物中產生。先前展示干擾IL-12路徑可有效地預防齧齒動物中之EAE,且使用抗IL-12 mAb之IL-12p40之活體內中和在普通狨猴之髓磷脂誘導的EAE模型中具有有利作用。 IL-12 is an inflammatory cytokine that is produced by APC and promotes Th1 effector cell differentiation. IL-12 is produced in visualized lesions in patients with MS and in EAE-infected animals. Interference with the IL-12 pathway has previously been shown to be effective in preventing EAE in rodents, and has in vivo neutralization using IL-12p40 against IL-12 mAb has a beneficial effect in the myelin-induced EAE model of the common marmoset.

TWEAK為組成性表現於中樞神經系統(CNS)中之TNF家族之一成員,具有視細胞類型而定之促發炎性、增殖或細胞凋亡作用。其受體Fn14藉由內皮細胞、反應性星形膠質細胞及神經元表現於CNS中。 TWEAK及Fn14 mRNA表現在實驗性自體免疫性腦脊髓炎(EAE)期間在脊髓中增加。當小鼠在激活期(priming phase)之後經治療時,在C57BL/6小鼠之髓磷脂寡樹突神經膠質細胞醣蛋白(MOG)誘導之EAE中進行抗TWEAK抗體治療導致疾病嚴重程度降低且白血球浸潤減少。 TWEAK is a member of the TNF family constitutively present in the central nervous system (CNS) and has pro-inflammatory, proliferative or apoptotic effects depending on the cell type. Its receptor Fn14 is expressed in the CNS by endothelial cells, reactive astrocytes and neurons. TWEAK and Fn14 mRNA expression increased in the spinal cord during experimental autoimmune encephalomyelitis (EAE). When mice are treated after the priming phase, anti-TWEAK antibody treatment in myelin oligodendritic glial cell glycoprotein (MOG) -induced EAE in C57BL / 6 mice results in reduced disease severity and Leukocyte infiltration is reduced.

本發明之一態樣係關於能夠結合IL-1β及一或多個(例如兩個)選自由以下組成之群之標靶的DVD Ig分子:IL-12、TWEAK、IL-23、CXCL13、CD40、CD40L、IL-18、VEGF、VLA-4、TNF、CD45RB、CD200、IFNγ、GM-CSF、FGF、C5、CD52、骨橋蛋白(osteopontin)及CCR2。實施例包括作為有利於治療MS之治療劑的雙重特異性抗IL-1β/TWEAK DVD Ig。 One aspect of the present invention relates to a DVD Ig molecule capable of binding IL-1β and one or more (for example, two) targets selected from the group consisting of: IL-12, TWEAK, IL-23, CXCL13, CD40 , CD40L, IL-18, VEGF, VLA-4, TNF, CD45RB, CD200, IFNγ, GM-CSF, FGF, C5, CD52, osteopontin and CCR2. Examples include dual-specific anti-IL-1 β / TWEAK DVD Ig as a therapeutic agent beneficial for the treatment of MS.

評估DVD-Ig分子治療MS之適用性之若干動物模型在此項技術中為已知的(參見Steinman等人,Trends Immunol.,26(11):565-571(2005);Lublin等人,Springer Semin Immunopathol.,8(3):197-208(1985);Genain等人,J.Mol.Med.,75(3):187-197(1997);Tuohy等人,J.Exp.Med.,189(7):1033-1042(1999);Owens等人,Neurol.Clin.,13(1):51-73(1995);及't Hart等人,J.Immunol.,175(7):4761-4768(2005))。基於親本抗體對於人類及動物物種直系同源物之交叉反應性(例如對於人類及小鼠IL-1β、人類及小鼠TWEAK等之反應性),小鼠EAE模型中之驗證研究可以「匹配代用抗體」來源之DVD-Ig分子進行;簡言之,基於兩個(或兩個以上)小鼠標靶特異性抗體之DVD-Ig可在可能之程度上與用於人類DVD-Ig構築之親本人類或人類化抗體之特徵匹配(類似親和力、類似中和效能、類似半衰期等)。相同概念應用於其他非齧齒動物物種之動物模型,其中針對預期藥理學及可能之安全性研究來選擇「匹配代用抗體」來源之DVD-Ig。除此等標靶對之常規安全性評估之外,可批准對免疫抑止程度之特定測試且其有助 於選擇最佳標靶對(參見Luster等人,Toxicology,92(1-3):229-243(1994);Descotes等人,Develop.Biol.Standard.,77:99-102(1992);Jones,R.,「Rovelizumab-ICOS Corp」,IDrugs,3(4):442-446(2000))。 Several animal models evaluating the applicability of DVD-Ig molecules for MS are known in the art (see Steinman et al., Trends Immunol. , 26 (11): 565-571 (2005); Lublin et al., Springer Semin Immunopathol. , 8 (3): 197-208 (1985); Genain et al., J. Mol. Med., 75 (3): 187-197 (1997); Tuohy et al. , J. Exp. Med. , 189 (7): 1033-1042 (1999); Owens et al., Neurol. Clin. , 13 (1): 51-73 (1995); and 't Hart et al. , J. Immunol. , 175 (7): 4761-4768 (2005)). Based on the cross-reactivity of parental antibodies to orthologs of human and animal species (eg, reactivity to human and mouse IL-1β, human and mouse TWEAK, etc.), validation studies in mouse EAE models can be "matched "Substituting antibodies" from DVD-Ig molecules; in short, DVD-Ig based on two (or more) mouse-specific target antibodies can be used to the extent possible for human DVD-Ig constructs The characteristics of the human or humanized antibody are matched (similar affinity, similar neutralizing potency, similar half-life, etc.). The same concept is applied to animal models of other non-rodent species, where a DVD-Ig of "matched alternative antibody" source is selected for expected pharmacology and possible safety studies. In addition to the routine safety assessment of these target pairs, specific tests for the extent of immunosuppression can be approved and it helps to select the best target pair (see Luster et al., Toxicology , 92 (1-3): 229 -243 (1994); Descotes et al., Develop. Biol. Standard., 77: 99-102 (1992); Jones, R., "Rovelizumab-ICOS Corp", IDrugs , 3 (4): 442-446 (2000 )).

敗血症septicemia

敗血症之病理生理異常係由革蘭氏陰性有機體(脂多醣[LPS]、脂質A、內毒素)及革蘭氏陽性有機體(脂磷壁酸、肽聚糖)兩者之外膜組分引起。此等外膜組分能夠結合於單核細胞表面上之CD14受體。藉助於近來描述之toll樣受體,隨後將信號傳輸至細胞,導致最終產生促發炎性細胞激素腫瘤壞死因子-α(TNF-α)及介白素-1(IL-1)。壓倒性發炎及免疫反應為敗血性休克之基本特徵且在敗血症誘導之組織損傷、多個器官衰竭及死亡之發病機制中起重要作用。細胞激素、尤其腫瘤壞死因子(TNF)及介白素(IL-1)已展示為敗血性休克之關鍵介體。此等細胞激素對於組織具有直接毒性作用;其亦活化磷脂酶A2。此等及其他作用導致血小板活化因子之濃度增加、促進氧化氮合成酶活性、促進嗜中性白血球之組織浸潤及促進嗜中性白血球活性。 The pathophysiological abnormalities of sepsis are caused by outer membrane components of both Gram-negative organisms (lipopolysaccharide [LPS], lipid A, endotoxin) and Gram-positive organisms (lipoic acid, peptidoglycan). These outer membrane components are capable of binding to the CD14 receptor on the surface of monocytes. With the help of the recently described toll-like receptor, the signal is then transmitted to the cells, resulting in the eventual production of the proinflammatory cytokines tumor necrosis factor-α (TNF-α) and interleukin-1 (IL-1). Overwhelming inflammation and immune response are the basic characteristics of septic shock and play an important role in the pathogenesis of sepsis-induced tissue damage, multiple organ failure, and death. Cytokines, especially tumor necrosis factor (TNF) and interleukin (IL-1) have been shown to be key mediators of septic shock. These cytokines have a direct toxic effect on tissues; they also activate phospholipase A2. These and other effects result in increased concentrations of platelet activating factors, promotion of nitric oxide synthase activity, promotion of tissue infiltration of neutrophils, and promotion of neutrophil activity.

敗血症及敗血性休克之治療仍為臨床難題,且最近使用生物反應調節劑(亦即抗TNF、抗MIF)針對發炎反應之有希望的試驗僅展示有限臨床益處。近來,關注已移向針對逆轉伴隨之免疫抑制期之療法。實驗動物及垂危患者中之研究證明淋巴器官及一些實質組織之細胞凋亡增加造成此免疫抑制、無反應性及器官系統功能障礙。在敗血症候群期間,淋巴細胞凋亡可藉由IL-2之缺乏或藉由糖皮質激素、顆粒酶(granzyme)或所謂的『死亡』細胞激素(腫瘤壞死因子α或Fas配位體)之釋放而觸發。細胞凋亡經由胞內及/或粒線體卡斯蛋白酶之自動活化而進行,其可受Bcl-2家族之促細胞凋亡及抗細胞凋亡成員的影響。在實驗動物中,細胞凋亡抑制劑之治療不僅可預防淋巴樣細胞凋 亡;其亦可改善結果。雖然以抗細胞凋亡劑進行臨床試驗在較大程度上由於與其投與及組織靶向相關之技術難題而仍遙遠,但是淋巴細胞凋亡之抑制代表敗血症患者之有吸引力的治療標靶。同樣地,靶向發炎介體及細胞凋亡介體兩者之雙重特異性劑可具有附加益處。本發明之一態樣係關於能夠結合IL-1β及一或多個選自由以下組成之群的與敗血症有關之標靶的DVD Ig:TNF、IL-1、MIF、IL-6、IL-8、IL-18、IL-12、IL-23、FasL、LPS、Toll樣受體、TLR-4、組織因子、MIP-2、ADORA2A、CASP1、CASP4、IL-10、IL-1B、NFKB1、PROC、TNFRSF1A、CSF3、CCR3、IL1RN、MIF、NFKB1、PTAFR、TLR2、TLR4、GPR44、HMOX1、HMG-B1、中期因子、IRAK1、NFKB2、SERPINA1、SERPINE1及TREM1。該等DVD Ig對於敗血症之功效可在此項技術中已知之臨床前動物模型中評估(參見Buras等人,Nat.Rev.Drug Discov.,4(10):854-865(2005);及Calandra等人,Nature Med.,6(2):164-170(2000))。 Treatment of sepsis and septic shock remains a clinical problem, and recent promising trials using inflammatory response modifiers (ie, anti-TNF, anti-MIF) against inflammatory responses have only shown limited clinical benefit. Recently, attention has shifted to therapies directed at reversing the accompanying immunosuppressive phase. Studies in experimental animals and critically ill patients have demonstrated that increased apoptosis in lymphoid organs and some parenchymal tissues results in this immunosuppression, non-responsiveness, and organ system dysfunction. During sepsis, lymphocyte apoptosis can be caused by a lack of IL-2 or by glucocorticoids, granzymes, or so-called "dead" cytokines (tumor necrosis factor alpha or Fas ligand). Triggered by release. Apoptosis occurs through the automatic activation of intracellular and / or mitochondrial Cassin, which can be affected by the pro-apoptotic and anti-apoptotic members of the Bcl-2 family. In experimental animals, treatment with apoptosis inhibitors not only prevents lymphoid cell apoptosis; it also improves results. Although clinical trials with anti-apoptotic agents are still largely remote due to technical difficulties related to their administration and tissue targeting, the inhibition of lymphocyte apoptosis represents an attractive therapeutic target for patients with sepsis. Likewise, dual specific agents that target both inflammatory mediators and apoptotic mediators may have additional benefits. One aspect of the present invention relates to a DVD Ig capable of binding to IL-1β and one or more targets related to sepsis selected from the group consisting of: TNF, IL-1, MIF, IL-6, IL-8 , IL-18, IL-12, IL-23, FasL, LPS, Toll-like receptor, TLR-4, tissue factor, MIP-2, ADORA2A, CASP1, CASP4, IL-10, IL-1B, NFKB1, PROC , TNFRSF1A, CSF3, CCR3, IL1RN, MIF, NFKB1, PTAFR, TLR2, TLR4, GPR44, HMOX1, HMG-B1, intermediate factors, IRAK1, NFKB2, SERPINA1, SERPINE1, and TREM1. The efficacy of these DVD Igs for sepsis can be evaluated in preclinical animal models known in the art (see Buras et al., Nat. Rev. Drug Discov. , 4 (10): 854-865 (2005); and Calandra Et al., Nature Med. , 6 (2): 164-170 (2000)).

神經性病症及神經退化性疾病Neurological disorders and neurodegenerative diseases

神經退化性疾病為慢性(在該情況下,其通常具有年齡依賴性)或急性(例如,中風、創傷性腦損傷、脊髓損傷等)疾病。其特徵在於神經元功能之進行性喪失(神經元細胞死亡、脫髓鞘)、活動性喪失及記憶喪失。對慢性神經退化性疾病(例如阿茲海默氏病,AD)所潛在之機制的新興認識展示複雜病因且已識別造成其形成及進展的多種因素,例如年齡、血糖狀態、澱粉狀蛋白產生及多聚合、結合於其受體RAGE(晚期糖基化最終產物(AGE)受體)之AGE積聚、大腦氧化應力增加、腦血流量減少、包括釋放發炎細胞激素及趨化因子之神經發炎、神經元功能障礙及微神經膠質細胞活化。因此,此等慢性神經退化性疾病代表多個細胞類型與介體之間的複雜相互作用。該等疾病之治療策略為有限的且主要構成以非特異性消炎劑(例如皮質類固醇、COX 抑制劑)阻斷發炎過程或以藥劑預防神經元喪失及/或突觸功能。此等治療未能終止疾病進程。最近研究表明更具靶向性之療法,諸如可溶性Aβ肽(包括Aβ寡聚物形式)之抗體可不僅有助於終止疾病進程而且亦有助於維持記憶力。此等初步觀測結果表明靶向一個以上疾病介體(例如Aβ及促發炎性細胞激素(諸如TNF))之特異性療法對於慢性神經退化性疾病而言可提供甚至比關於靶向單一疾病機制(例如僅可溶性Aβ)所觀測到之治療功效更好的治療功效(參見Shepherd等人,Neuropathol.Appl.Neurobiol.,31:503-511(2005);Nelson,R.B.,Curr.Pharm.Des.,11:3335-3352(2005);Klein,W.L.,Neurochem.Int.,41:345-352(2002);Janelsins等人,「Early correlation of microglial activation with enhanced tumor necrosis factor-alpha and monocyte chemoattractant protein-I expression specifically within the entorhinal cortex of triple transgenic Alzheimer's disease mice」,J.Neuroinflammation,2(23):1-12(2005);Soloman,B.,Curr.Alzheimer.Res.,1:149-163(2004);Klyubin等人,Nature Med.,11:556-561(2005);Arancio等人,EMBO J.,23:4096-4105(2004);Bornemann等人,Am.J.Pathol.,158:63-73(2001);Deane等人,Nature Med.,9:907-913(2003);及Masliah等人,Neuron,46:857-868(2005))。 Neurodegenerative diseases are chronic (in this case, they are usually age-dependent) or acute (e.g., stroke, traumatic brain injury, spinal cord injury, etc.). It is characterized by progressive loss of neuronal function (neuronal cell death, demyelination), loss of activity, and loss of memory. Emerging understanding of the underlying mechanisms underlying chronic neurodegenerative diseases (such as Alzheimer's disease, AD) demonstrates complex etiology and has identified multiple factors that contribute to its formation and progression, such as age, blood glucose status, amyloid production, and Polymerization, accumulation of AGE bound to its receptor RAGE (late glycosylation end product (AGE) receptor), increased cerebral oxidative stress, decreased cerebral blood flow, neuroinflammation including release of inflammatory cytokines and chemokines, nerves Metadysfunction and Microglial Activation. As such, these chronic neurodegenerative diseases represent complex interactions between multiple cell types and mediators. The treatment strategies for these diseases are limited and mainly consist of blocking non-inflammatory processes with non-specific anti-inflammatory agents (eg, corticosteroids, COX inhibitors) or preventing the loss of neurons and / or synaptic functions with agents. These treatments have failed to stop the disease process. Recent studies have shown that more targeted therapies, such as antibodies to soluble A [beta] peptides (including A [beta] oligomeric forms) can not only help stop the disease process but also help maintain memory. These preliminary observations suggest that specific therapies that target more than one disease mediator (e.g., Aβ and pro-inflammatory cytokines (such as TNF)) can provide or even be more effective in targeting chronic neurodegenerative diseases than single disease mechanisms For example, only soluble Aβ) has been observed to have better therapeutic efficacy (see Shepherd et al., Neuropathol. Appl . Neurobiol . , 31: 503-511 (2005); Nelson, RB, Curr . Pharm . Des . , 11 : 3335-3352 (2005); Klein, WL, Neurochem. Int . , 41: 345-352 (2002); Janelsins et al., "Early correlation of microglial activation with enhanced tumor necrosis factor-alpha and monocyte chemoattractant protein-I expression specifically within the entorhinal cortex of triple transgenic Alzheimer's disease mice ", J.Neuroinflammation, 2 (23): 1-12 (2005); Soloman, B, Curr.Alzheimer.Res, 1:.. 149-163 (2004); Klyubin et al., Nature Med. , 11: 556-561 (2005); Arancio et al., EMBO J. , 23: 4096-4105 (2004); Bornemann et al . , Am.J. Pathol. , 158: 63-73 (2001); Deane et al., Nature Med, 9: 907-913 ( 2003). And Masliah et al., Neuron, 46: 857-868 (2005 )).

本發明之DVD-Ig分子可結合IL-1β及一或多個與慢性神經退化性疾病(諸如阿茲海默氏病)有關之標靶。該等標靶包括(但不限於)與AD發病機制有關聯之任何介體(可溶性或細胞表面),例如AGE(S100 A,兩性黴素(amphoterin))、促發炎性細胞激素(例如IL-1)、趨化因子(例如MCP 1)、抑制神經再生之分子(例如Nogo、RGM A)、增強神經突生長之分子(神經營養因子)及可介導在血腦障壁處之輸送的分子(例如轉鐵蛋白受體、胰島素受體或RACE)。DVD-Ig分子之功效可在臨床前動物模型中驗證,該等動物模型諸如過度表現澱粉狀蛋白前體蛋白 或RAGE且產生阿茲海默氏病樣症狀之轉殖基因小鼠。另外,DVD-Ig分子可經構築且在動物模型中測試功效且最佳治療性DVD-Ig可經選擇用於在人類患者中測試。DVD-Ig分子亦可用於治療其他神經退化性疾病,諸如帕金森氏病。α-突觸核蛋白與帕金森氏病病理有關。能夠靶向IL-1β及LINGO-1、α-突觸核蛋白及/或發炎介體(諸如TNF、IL-1、MCP-1)之DVD-Ig可證明為帕金森氏病之有效療法且涵蓋於本發明中。 The DVD-Ig molecules of the present invention can bind IL-1β and one or more targets related to chronic neurodegenerative diseases such as Alzheimer's disease. These targets include, but are not limited to, any mediator (soluble or cell surface) associated with the pathogenesis of AD, such as AGE (S100 A, amphotericin), pro-inflammatory cytokines (such as IL- 1), chemokines (e.g. MCP 1), molecules that inhibit nerve regeneration (e.g. Nogo, RGM A), molecules that enhance neurite growth (neurotrophic factors), and molecules that mediate transport at blood-brain barriers ( (Eg, transferrin receptor, insulin receptor or RACE). The efficacy of DVD-Ig molecules can be verified in preclinical animal models, such as over-expression of amyloid precursor protein Or RAGE transgenic mice with Alzheimer's disease-like symptoms. In addition, DVD-Ig molecules can be constructed and tested for efficacy in animal models and the best therapeutic DVD-Ig can be selected for testing in human patients. DVD-Ig molecules can also be used to treat other neurodegenerative diseases, such as Parkinson's disease. Alpha-synuclein is involved in the pathology of Parkinson's disease. DVD-Ig capable of targeting IL-1β and LINGO-1, α-synuclein and / or inflammatory mediators such as TNF, IL-1, MCP-1 can prove to be effective treatments for Parkinson's disease and Covered by the present invention.

神經元再生及脊髓損傷Neuron regeneration and spinal cord injury

儘管對病理性機制的認識增加,脊髓損傷(SCI)仍為破壞性病狀且代表以高度醫學需求為特徵之醫學適應症。大多數脊髓損傷為挫傷或擠壓損傷且原發性損傷之後通常為繼發性損傷機制(發炎介體,例如細胞激素及趨化因子),其使初始損傷惡化且導致病灶面積顯著擴大,有時超過10倍。SCI中之此等原發性及繼發性機制與腦損傷中之由其他方式(例如中風)所造成之機制極相似。不存在令人滿意的治療且甲潑尼龍(methylprednisolone,MP)之高劑量快速注射為損傷後8小時之窄時窗內之唯一所用療法。然而,此治療僅意欲預防繼發損傷,而不會導致任何顯著功能恢復。其由於缺乏明確功效及嚴重不良作用(如免疫抑止,隨後感染,及嚴重組織病理學肌肉變化)而受到大量批評。刺激內源性再生潛力之其他藥物、生物製劑或小分子未獲批准,但近年來有希望之治療原理及候選藥物已在SCI之動物模型中展示功效。在很大程度上,在人類SCI中缺乏功能恢復係由在病灶位點處、在傷疤組織中、在髓磷脂中以及在損傷相關之細胞上抑制神經突生長之因子所引起。該等因子為髓磷脂相關之蛋白質NogoA、OMgp及MAG、RGM A、傷疤相關之CSPG(硫酸軟骨素蛋白聚糖)及對於反應性星形膠質細胞之抑制因子(一些信號蛋白(semaphorin)及ephrin)。然而,在病灶位點處,不僅發現生長抑制分子,而且發現神經突生長刺 激因子,如神經營養因子、層黏連蛋白(laminin)、L1及其他。神經突生長抑制及生長促進分子之此集合體可解釋阻斷單一因子(如NogoA或RGM A)導致齧齒動物SCI模型中之顯著功能恢復,因為抑制影響降低可使平衡自生長抑制移至生長促進。然而,關於阻斷單一神經突外生長抑制分子所觀測到之恢復為不全面的。為達成更快及更顯著恢復,阻斷兩個神經突外生長抑制分子(例如Nogo及RGM A)或阻斷神經突外生長抑制分子且增強神經突外生長增強分子(例如Nogo及神經營養因子)之功能,或阻斷神經突外生長抑制分子(例如Nogo)及促發炎性分子(例如TNF)可能為需要的(參見McGee等人,Trends Neurosci.,26:193-198(2003);Domeniconi等人,J.Neurol.Sci.,233:43-47(2005);Makwana等人,FEBS J.,272:2628-2638(2005);Dickson,B.J.,Science,298:1959-1964(2002);Teng等人,J.Neurosci.Res.,79:273-278(2005);Karnezis等人,Nature Neurosci.,7:736(2004);Xu等人,J.Neurochem.,91:1018-1023(2004))。 Despite increased understanding of pathological mechanisms, spinal cord injury (SCI) remains a devastating condition and represents a medical indication characterized by a high medical need. Most spinal cord injuries are contusions or crush injuries, and the primary injury is usually followed by a secondary injury mechanism (inflammatory mediators, such as cytokines and chemokines), which worsens the initial injury and causes the lesion area to expand significantly. More than 10 times. These primary and secondary mechanisms in SCI are very similar to those caused by other methods, such as stroke, in brain injury. There is no satisfactory treatment and high-dose rapid injection of methylprednisolone (MP) is the only therapy used within a narrow time window of 8 hours after injury. However, this treatment is only intended to prevent secondary damage without causing any significant functional recovery. It has been heavily criticized for its lack of clear efficacy and severe adverse effects such as immunosuppression, subsequent infections, and severe histopathological muscle changes. Other drugs, biologics, or small molecules that stimulate endogenous regeneration potential have not been approved, but promising therapeutic principles and drug candidates have shown efficacy in animal models of SCI in recent years. To a large extent, the lack of functional recovery in human SCI is caused by factors that inhibit neurite growth at the site of the lesion, in scar tissue, in myelin, and on damage-related cells. These factors are myelin-related proteins NogoA, OMgp and MAG, RGM A, scar-related CSPG (chondroitin sulfate proteoglycan), and inhibitors of reactive astrocytes (semaphorin and ephrin ). However, not only growth inhibitory molecules but also neurite growth stimulating factors such as neurotrophic factors, laminin, L1, and others were found at the lesion site. This aggregate of neurite growth inhibition and growth promoting molecules can explain that blocking a single factor (such as NogoA or RGM A) leads to significant functional recovery in rodent SCI models, as reduced inhibition effects can shift the balance from growth inhibition to growth promotion . However, the recovery observed with regard to blocking a single neurite outgrowth inhibitory molecule is incomplete. For faster and more significant recovery, block two neurite outgrowth inhibitory molecules (such as Nogo and RGM A) or block neurite outgrowth inhibitory molecules and enhance neurite outgrowth enhancing molecules (such as Nogo and neurotrophic factors) ), Or blocking neurite outgrowth inhibitory molecules (such as Nogo) and pro-inflammatory molecules (such as TNF) may be needed (see McGee et al., Trends Neurosci. , 26: 193-198 (2003); Domeniconi Et al., J. Neurol. Sci. , 233: 43-47 (2005); Makwana et al., FEBS J. , 272: 2628-2638 (2005); Dickson, BJ, Science , 298: 1959-1964 (2002) Teng et al., J. Neurosci. Res. , 79: 273-278 (2005); Karnezis et al., Nature Neurosci. , 7: 736 (2004); Xu et al. , J. Neurochem. , 91: 1018-1023 (2004)).

在一態樣中,結合人類IL-1β之DVD-Ig亦可結合一或兩個諸如以下標靶對:NgR與RGM A;NogoA與RGM A;MAG與RGM A;OMgp與RGM A;RGM A與RGM B;CSPGs與RGM A;聚集蛋白聚糖(aggrecan)、中期因子、神經蛋白聚糖(neurocan)、多功能蛋白聚糖(versican)、磷酸蛋白聚糖(phosphacan)、Te38及TNF-α;提供Aβ球聚體特異性抗體與促進樹突&軸突分枝之抗體之組合。樹突病變為AD之極早期病徵且已知NOGO A限制樹突生長。可將該類型之ab與SCI-候選(髓磷脂-蛋白質)Ab組合。其他DVD-Ig標靶可包括以下各者之任何組合:NgR-p75、NgR-Troy、NgR-Nogo66(Nogo)、NgR-Lingo、Lingo-Troy、Lingo-p75、MAG或OMgp。另外,標靶亦可包括與抑制神經突有關聯之任何介體(可溶性或細胞表面),例如Nogo、OMpg、MAG、RGM A、信號蛋白、ephrin、可溶性Aβ、促發炎性細胞激素 (例如IL-1)、趨化因子(例如MIP 1a)、抑制神經再生之分子。抗nogo/抗RGM A或類似DVD-Ig分子之功效可在脊髓損傷之臨床前動物模型中驗證。另外,此等DVD-Ig分子可經構築且在動物模型中測試功效且最佳治療性DVD-Ig可經選擇用於在人類患者中測試。另外,可構築DVD-Ig分子,其靶向單一受體上之兩個不同配位體結合位點,該受體為例如結合三個配位體Nogo、OMGp及MAG之Nogo受體及結合Aβ及S100 A之RAGE。此外,神經突外生長抑制劑(例如nogo及nogo受體)亦在預防免疫疾病(如多發性硬化症)中之神經再生中起作用。已展示在多發性硬化症之動物模型中抑制nogo-nogo受體相互作用可增強恢復。因此,可阻斷一免疫介體(例如細胞激素,如IL-12)及神經突外生長抑制劑分子(例如Nogo或RGM)之功能的DVD-Ig分子可提供比單獨阻斷免疫或神經突外生長抑制劑分子更快且更大之功效。 In one aspect, DVD-Ig that binds human IL-1β can also bind one or two target pairs such as: NgR and RGM A; NogoA and RGM A; MAG and RGM A; OMgp and RGM A; RGM A And RGM B; CSPGs and RGM A; aggrecan, mid-term factor, neurocan, multifunctional proteoglycan (versican), phosphacan, Te38 and TNF-α Provide a combination of Aβ globulomer-specific antibodies and antibodies that promote dendritic & axonal branching. Dendritic lesions are very early signs of AD and NOGO A is known to restrict dendritic growth. This type of ab can be combined with SCI-candidate (myelin-protein) Ab. Other DVD-Ig targets may include any combination of the following: NgR-p75, NgR-Troy, NgR-Nogo66 (Nogo), NgR-Lingo, Lingo-Troy, Lingo-p75, MAG, or OMgp. In addition, targets can include any mediator (soluble or cell surface) associated with the inhibition of neurites, such as Nogo, OMpg, MAG, RGM A, signaling proteins, ephrin, soluble Aβ, pro-inflammatory cytokines (Such as IL-1), chemokines (such as MIP 1a), molecules that inhibit neural regeneration. The efficacy of anti-nogo / anti-RGM A or DVD-Ig-like molecules can be verified in preclinical animal models of spinal cord injury. In addition, these DVD-Ig molecules can be constructed and tested for efficacy in animal models and the best therapeutic DVD-Ig can be selected for testing in human patients. In addition, DVD-Ig molecules can be constructed that target two different ligand binding sites on a single receptor, such as the Nogo receptor that binds the three ligands Nogo, OMGp, and MAG, and binds Aβ And RAGE of S100 A. In addition, neurite outgrowth inhibitors (such as nogo and nogo receptors) also play a role in preventing nerve regeneration in immune diseases such as multiple sclerosis. Inhibition of nogo-nogo receptor interactions in animal models of multiple sclerosis has been shown to enhance recovery. Therefore, a DVD-Ig molecule that can block the function of an immune mediator (e.g., a cytokine, such as IL-12) and an neurite outgrowth inhibitory molecule (e.g., Nogo or RGM) can provide a greater advantage than blocking immune or Epistatic molecules are faster and more potent.

一般而言,抗體並不以有效且相關方式跨過血腦障壁(BBB)。然而,在某些例如中風、創傷性腦損傷、多發性硬化症等之神經性疾病之情況下,BBB可能受損且允許滲透入大腦中之DVD-Ig及抗體增加。在未發生BBB洩漏之其他神經學病狀中,可採用靶向內源性輸送系統,包括載體介導之輸送體,諸如葡萄糖及胺基酸載體,及受體介導之轉胞吞作用,在BBB之血管內皮處介導細胞結構/受體,因此實現DVD-Ig之跨BBB輸送。實現該輸送之BBB處的結構包括(但不限於)胰島素受體、轉鐵蛋白受體、LRP及RAGE。此外,策略使得DVD-Ig亦能夠作為將潛在藥物輸送至CNS中的梭使用,該等潛在藥物包括低分子量藥物、奈米粒子及核酸(Coloma等人,Pharm.Res.,17(3):266-274(2000);Boado等人,Bioconjug.Chem.,18(2):447-455(2007))。 In general, antibodies do not cross the blood brain barrier (BBB) in an effective and relevant manner. However, in the case of certain neurological diseases such as stroke, traumatic brain injury, multiple sclerosis, etc., the BBB may be damaged and allow increased DVD-Ig and antibodies to penetrate into the brain. In other neurological conditions where BBB leaks do not occur, targeted endogenous delivery systems can be used, including carrier-mediated transporters such as glucose and amino acid carriers, and receptor-mediated transcytosis, Mediates cellular structures / receptors at the vascular endothelium of the BBB, thus enabling DVD-Ig delivery across the BBB. The structures at the BBB that enable this delivery include, but are not limited to, the insulin receptor, transferrin receptor, LRP, and RAGE. In addition, the strategy enables DVD-Ig to be used as a shuttle to deliver potential drugs to the CNS, including low molecular weight drugs, nanoparticle and nucleic acid (Coloma et al., Pharm.Res. , 17 (3): 266-274 (2000); Boado et al., Bioconjug. Chem . , 18 (2): 447-455 (2007)).

致癌病症Carcinogenic condition

單株抗體療法已作為癌症之重要治療模態而出現(von Mehren等人,Ann.Rev.Med.,54:343-369(2003))。抗體可藉由誘導細胞凋亡、 再定向之細胞毒性、干擾配位體-受體相互作用或阻止對於贅生性表型為關鍵性的蛋白質之表現而發揮抗腫瘤作用。另外,抗體可靶向腫瘤微環境之組分,從而擾亂極為重要的結構,諸如腫瘤相關之維管結構之形成。抗體亦可靶向其配位體為生長因子之受體,諸如表皮生長因子受體。因此,抗體可抑制刺激細胞生長之天然配位體結合於所靶向之腫瘤細胞。或者,抗體可誘導抗個體基因型網路、補體介導之細胞毒性或抗體依賴性細胞毒性(ADCC)。與單特異性療法相比,使用靶向兩個獨立腫瘤介體之雙重特異性抗體可能會產生額外益處。 Monoclonal antibody therapy has emerged as an important therapeutic modality for cancer (von Mehren et al., Ann. Rev. Med . , 54: 343-369 (2003)). Antibodies can exert antitumor effects by inducing apoptosis, redirecting cytotoxicity, interfering with ligand-receptor interactions, or preventing the expression of proteins that are critical for neoplastic phenotypes. In addition, antibodies can target components of the tumor microenvironment, thereby disrupting vital structures such as the formation of tumor-associated vascular structures. Antibodies can also target receptors whose ligands are growth factors, such as the epidermal growth factor receptor. Therefore, antibodies can inhibit the binding of natural ligands that stimulate cell growth to the targeted tumor cells. Alternatively, antibodies can induce anti-idiotypic networks, complement-mediated cytotoxicity, or antibody-dependent cytotoxicity (ADCC). Compared with monospecific therapy, the use of dual specific antibodies that target two independent tumor mediators may yield additional benefits.

在另一實施例中,結合本發明之人類IL-1β的DVD-Ig亦可能夠結合與致癌疾病有關之另一標靶,其包括(但不限於):IGFR、IGF、VGFR1、PDGFRb、PDGFRa、IGF1,2、ERB3、CDCP、1BSG2、ErbB3、CD52、CD20、CD19、CD3、CD4、CD8、BMP6、IL12A、IL1A、IL1B、IL2、IL24、INHA、TNF、TNFSF10、BMP6、EGF、FGF1、FGF10、FGF11、FGF12、FGF13、FGF14、FGF16、FGF17、FGF18、FGF19、FGF2、FGF20、FGF21、FGF22、FGF23、FGF3、FGF4、FGF5、FGF6、FGF7、FGF8、FGF9、GRP、IGF1、IGF2、IL12A、IL1A、IL1B、IL2、INHA、TGFA、TGFB1、TGFB2、TGFB3、VEGF、CDK2、FGF10、FGF18、FGF2、FGF4、FGF7、IGF1R、IL2、BCL2、CD164、CDKN1A、CDKN1B、CDKN1C、CDKN2A、CDKN2B、CDKN2C、CDKN3、GNRH1、IGFBP6、IL1A、IL1B、ODZ1、PAWR、PLG、TGFB1I1、AR、BRCA1、CDK3、CDK4、CDK5、CDK6、CDK7、CDK9、E2F1、EGFR、ENO1、ERBB2、ESR1、ESR2、IGFBP3、IGFBP6、IL2、INSL4、MYC、NOX5、NR6A1、PAP、PCNA、PRKCQ、PRKD1、PRL、TP53、FGF22、FGF23、FGF9、IGFBP3、IL2、INHA、KLK6、TP53、CHGB、GNRH1、IGF1、IGF2、INHA、INSL3、INSL4、 PRL、KLK6、SHBG、NR1D1、NR1H3、NR1I3、NR2F6、NR4A3、ESR1、ESR2、NR0B1、NR0B2、NR1D2、NR1H2、NR1H4、NR1I2、NR2C1、NR2C2、NR2E1、NR2E3、NR2F1、NR2F2、NR3C1、NR3C2、NR4A1、NR4A2、NR5A1、NR5A2、NR6A1、PGR、RARB、FGF1、FGF2、FGF6、KLK3、KRT1、APOC1、BRCA1、CHGA、CHGB、CLU、COL1A1、COL6A1、EGF、ERBB2、ERK8、FGF1、FGF10、FGF11、FGF13、FGF14、FGF16、FGF17、FGF18、FGF2、FGF20、FGF21、FGF22、FGF23、FGF3、FGF4、FGF5、FGF6、FGF7、FGF8、FGF9、GNRH1、IGF1、IGF2、IGFBP3、IGFBP6、IL12A、IL1A、IL1B、IL2、IL24、INHA、INSL3、INSL4、KLK10、KLK12、KLK13、KLK14、KLK15、KLK3、KLK4、KLK5、KLK6、KLK9、MMP2、MMP9、MSMB、NTN4、ODZ1、PAP、PLAU、PRL、PSAP、SERPINA3、SHBG、TGFA、TIMP3、CD44、CDH1、CDH10、CDH19、CDH20、CDH7、CDH9、CDH1、CDH10、CDH13、CDH18、CDH19、CDH20、CDH7、CDH8、CDH9、ROBO2、CD44、ILK、ITGA1、APC、CD164、COL6A1、MTSS1、PAP、TGFB1I1、AGR2、AIG1、AKAP1、AKAP2、CANT1、CAV1、CDH12、CLDN3、CLN3、CYB5、CYC1、DAB2IP、DES、DNCL1、ELAC2、ENO2、ENO3、FASN、FLJ12584、FLJ25530、GAGEB1、GAGEC1、GGT1、GSTP1、HIP1、HUMCYT2A、IL29、K6HF、KAI1、KRT2A、MIB1、PART1、PATE、PCA3、PIAS2、PIK3CG、PPID、PR1、PSCA、SLC2A2、SLC33A1、SLC43A1、STEAP、STEAP2、TPM1、TPM2、TRPC6、ANGPT1、ANGPT2、ANPEP、ECGF1、EREG、FGF1、FGF2、FIGF、FLT1、JAG1、KDR、LAMA5、NRP1、NRP2、PGF、PLXDC1、STAB1、VEGF、VEGFC、ANGPTL3、 BAI1、COL4A3、IL8、LAMA5、NRP1、NRP2、STAB1、ANGPTL4、PECAM1、PF4、PROK2、SERPINF1、TNFAIP2、CCL11、CCL2、CXCL1、CXCL10、CXCL3、CXCL5、CXCL6、CXCL9、IFNA1、IFNB1、IFNG、IL1B、IL6、MDK、EDG1、EFNA1、EFNA3、EFNB2、EGF、EPHB4、FGFR3、HGF、IGF1、ITGB3、PDGFA、TEK、TGFA、TGFB1、TGFB2、TGFBR1、CCL2、CDH5、COL18A1、EDG1、ENG、ITGAV、ITGB3、THBS1、THBS2、BAD、BAG1、BCL2、CCNA1、CCNA2、CCND1、CCNE1、CCNE2、CDH1(E-鈣黏素)、CDKN1B(p27Kip1)、CDKN2A(p16INK4a)、COL6A1、CTNNB1(b-索烴素)、CTSB(組織蛋白酶B)、ERBB2(Her-2)、ESR1、ESR2、F3(TF)、FOSL1(FRA-1)、GATA3、GSN(膠溶素)、IGFBP2、IL2RA、IL6、IL6R、IL6ST(醣蛋白130)、ITGA6(a6整合素)、JUN、KLK5、KRT19、MAP2K7(c-Jun)、MKI67(Ki-67)、NGFB(NGF)、NGFR、NME1(NM23A)、PGR、PLAU(uPA)、PTEN、SERPINB5(脈絲平蛋白(maspin))、SERPINE1(PAI-1)、TGFA、THBS1(凝血栓蛋白-1)、TIE(Tie-1)、TNFRSF6(Fas)、TNFSF6(FasL)、TOP2A(拓撲異構酶Iia)、TP53、AZGP1(鋅-a-醣蛋白)、BPAG1(網蛋白)、CDKN1A(p21Wap1/Cip1)、CLDN7(緊密連接蛋白-7)、CLU(凝聚素)、ERBB2(Her-2)、FGF1、FLRT1(纖連蛋白)、GABRP(GABAa)、GNAS1、ID2、ITGA6(a6整合素)、ITGB4(b 4整合素)、KLF5(GC Box BP)、KRT19(角蛋白19)、KRTHB6(毛髮特異II型角蛋白)、MACMARCKS、MT3(金屬硫結合蛋白-III)、MUC1(黏蛋白)、PTGS2(COX-2)、RAC2(p21Rac2)、S100A2、SCGB1D2(親脂素B)、SCGB2A1(乳腺球蛋白2)、SCGB2A2(乳腺球蛋白1)、SPRR1B(Spr1)、THBS1、THBS2、THBS4及TNFAIP2(B94)、RON、c-Met、CD64、DLL4、PLGF、CTLA4、磷 脂醯絲胺酸、ROBO4、CD80、CD22、CD40、CD23、CD28、CD55、CD38、CD70、CD74、CD30、CD138、CD56、CD33、CD2、CD137、DR4、DR5、RANKL、VEGFR2、PDGFR、VEGFR1、MTSP1、MSP、EPHB2、EPHA1、EPHA2、EpCAM、PGE2、NKG2D、LPA、SIP、APRIL、BCMA、MAPG、FLT3、PDGFRα、PDGFRβ、ROR1、PSMA、PSCA、SCD1及CD59。 In another embodiment, the DVD-Ig combined with human IL-1β of the present invention may also be able to bind another target related to carcinogenic diseases, including (but not limited to): IGFR, IGF, VGFR1, PDGFRb, PDGFRa , IGF1,2, ERB3, CDCP, 1BSG2, ErbB3, CD52, CD20, CD19, CD3, CD4, CD8, BMP6, IL12A, IL1A, IL1B, IL2, IL24, INHA, TNF, TNFSF10, BMP6, EGF, FGF1, FGF10 , FGF11, FGF12, FGF13, FGF14, FGF16, FGF17, FGF18, FGF19, FGF2, FGF20, FGF21, FGF22, FGF23, FGF3, FGF4, FGF5, FGF6, FGF7, FGF8, FGF9, GRP, IGF1, IGF2, IL12A, ILA , IL1B, IL2, INHA, TGFA, TGFB1, TGFB2, TGFB3, VEGF, CDK2, FGF10, FGF18, FGF2, FGF4, FGF7, IGF1R, IL2, BCL2, CD164, CDKN1A, CDKN1B, CDKN1C, CDKN2A, CDKN2B, CDKN2C, CDKN2C , GNRH1, IGFBP6, IL1A, IL1B, ODZ1, PAWR, PLG, TGFB1I1, AR, BRCA1, CDK3, CDK4, CDK5, CDK6, CDK7, CDK9, E2F1, EGFR, ENO1, ERBB2, ESR1, ESR2, IGFBP3, IGFBP6, IL2 , INSL4, MYC, NOX5, NR6A1, PAP, PCNA, PRKCQ, PRKD1, PRL, TP53, FGF22, FG F23, FGF9, IGFBP3, IL2, INHA, KLK6, TP53, CHGB, GNRH1, IGF1, IGF2, INHA, INSL3, INSL4, PRL, KLK6, SHBG, NR1D1, NR1H3, NR1I3, NR2F6, NR4A3, ESR1, ESR2, NR0B1, NR0B2, NR1D2, NR1H2, NR1H4, NR1I2, NR2C1, NR2C2, NR2E1, NR2E3, NR2F1, NR2F2, NR3C1, NR3C1, NR3C1 NR4A2, NR5A1, NR5A2, NR6A1, PGR, RARB, FGF1, FGF2, FGF6, KLK3, KRT1, APOC1, BRCA1, CHGA, CHGB, CLU, COL1A1, COL6A1, EGF, ERBB2, ERK8, FGF1, FGF10, FGF11, FGF13, FGF14, FGF16, FGF17, FGF18, FGF2, FGF20, FGF21, FGF22, FGF23, FGF3, FGF4, FGF5, FGF6, FGF7, FGF8, FGF9, GNRH1, IGF1, IGF2, IGFBP3, IGFBP6, IL12A, IL1A, IL1B, IL2, IL24, INHA, INSL3, INSL4, KLK10, KLK12, KLK13, KLK14, KLK15, KLK3, KLK4, KLK5, KLK6, KLK9, MMP2, MMP9, MSMB, NTN4, ODZ1, PAP, PLAU, PRL, PSAP, SERPINA3, SHBG, TGFA, TIMP3, CD44, CDH1, CDH10, CDH19, CDH20, CDH7, CDH9, CDH1, CDH10, CDH13, CDH18, CDH19, CDH20, CDH7, CDH8, CDH9, ROBO2, CD44, ILK, ITGA1, APC, CD164, COL6A1 MTSS1, PAP, TGFB1I1, AGR2, AIG1, AKAP1, AKAP2, CANT1 CAV1, CDH12, CLDN3, CLN3, CYB5, CYC1, DAB2IP, DES, DNCL1, ELAC2, ENO2, ENO3, FASN, FLJ12584, FLJ25530, GAGEB1, GAGEC1, GGT1, GSTP1, HIP1, HUMCYT2A, IL29, K6HF, KAI1, KRT2A, IL29 MIB1, PART1, PATE, PCA3, PIAS2, PIK3CG, PPID, PR1, PSCA, SLC2A2, SLC33A1, SLC43A1, STEAP, STEAP2, TPM1, TPM2, TRPC6, ANGPT1, ANGPT2, ANPEP, ECGF1, EREG, FGF1, FGF2, FIGF, FIGF FLT1, JAG1, KDR, LAMA5, NRP1, NRP2, PGF, PLXDC1, STAB1, VEGF, VEGFC, ANGPTL3, BAI1, COL4A3, IL8, LAMA5, NRP1, NRP2, STAB1, ANGPTL4, PECAM1, PF4, PROK2, SERPINF1, TNFAIP2, CCL11, CCL2, CXCL1, CXCL10, CXCL3, CXCL5, CXCL6, CXCL9, IFNA1, IFNB1, IFNG, IL1B, IL6, MDK, EDG1, EFNA1, EFNA3, EFNB2, EGF, EPHB4, FGFR3, HGF, IGF1, ITGB3, PDGFA, TEK, TGFA, TGFB1, TGFB2, TGFBR1, CCL2, CDH5, COL18A1, EDG1, ENG, ITGAV, ITGB3, THBS1, THBS2, BAD, BAG1, BCL2, CCNA1, CCNA2, CCND1, CCNE1, CCNE2, CDH1 (E-cadherin), CDKN1B (p27Kip1), CDKN2A (p16INK4a), COL6A1, CTNNB1 (b-soparin), CTSB (Cathepsin B), ERBB2 (Her-2), ESR1, ESR2, F3 (TF), FOSL1 (FRA-1), GATA3, GSN (peptin), IGFBP2, IL2RA, IL6, IL6R, IL6ST (sugar Protein 130), ITGA6 (a6 integrin), JUN, KLK5, KRT19, MAP2K7 (c-Jun), MKI67 (Ki-67), NGFB (NGF), NGFR, NME1 (NM23A), PGR, PLAU (uPA), PTEN, SERPINB5 (maspin), SERPINE1 (PAI-1), TGFA, THBS1 (thrombin-1), TIE (Tie-1), TNFRSF6 (Fas), TNFSF6 (FasL), TOP2A ( Topoisomerase Iia), TP53 AZGP1 (zinc-a-glycoprotein), BPAG1 (reticulin), CDKN1A (p21Wap1 / Cip1), CLDN7 (close junction protein-7), CLU (agglutinin), ERBB2 (Her-2), FGF1, FLRT1 (fiber (Catenin), GABRP (GABAa), GNAS1, ID2, ITGA6 (a6 integrin), ITGB4 (b 4 integrin), KLF5 (GC Box BP), KRT19 (keratin 19), KRTHB6 (hair-specific type II keratin ), MACMARCKS, MT3 (metal sulfur-binding protein-III), MUC1 (mucin), PTGS2 (COX-2), RAC2 (p21Rac2), S100A2, SCGB1D2 (lipophilin B), SCGB2A1 (mammoglobulin 2), SCGB2A2 (mammoglobulin 1), SPRR1B (Spr1), THBS1, THBS2, THBS4 and TNFAIP2 (B94), RON, c-Met, CD64, DLL4, PLGF, CTLA4, phosphorus Fatty Serine, ROBO4, CD80, CD22, CD40, CD23, CD28, CD55, CD38, CD70, CD74, CD30, CD138, CD56, CD33, CD2, CD137, DR4, DR5, RANKL, VEGFR2, PDGFR, VEGFR1, MTSP1, MSP, EPHB2, EPHA1, EPHA2, EpCAM, PGE2, NKG2D, LPA, SIP, APRIL, BCMA, MAPG, FLT3, PDGFRα, PDGFRβ, ROR1, PSMA, PSCA, SCD1, and CD59.

D. 醫藥組合物D. Pharmaceutical composition

本發明亦提供包含本發明之抗體(包括本文所述之DVD-Ig)或其抗原結合部分及醫藥學上可接受之載劑的醫藥組合物。將包含本發明抗體之醫藥組合物用於(但不限於)診斷、偵測或監測病症,用於預防、治療、控制或改善病症或其一或多種症狀,及/或用於研究。在一特定實施例中,組合物包含一或多種本發明之抗體。在另一實施例中,醫藥組合物包含一或多種本發明之抗體及除本發明抗體以外用於治療IL-1β活性為有害之病症的一或多種預防或治療劑。在一實施例中,預防或治療劑已知適用於或已用於或當前用於預防、治療、控制或改善病症或其一或多種症狀。根據此等實施例,組合物可進一步包含載劑、稀釋劑或賦形劑。 The invention also provides a pharmaceutical composition comprising an antibody of the invention (including a DVD-Ig as described herein) or an antigen-binding portion thereof, and a pharmaceutically acceptable carrier. A pharmaceutical composition comprising an antibody of the invention is used for, but not limited to, diagnosing, detecting, or monitoring a disorder, for preventing, treating, controlling, or ameliorating a disorder or one or more symptoms thereof, and / or for research. In a particular embodiment, the composition comprises one or more antibodies of the invention. In another embodiment, the pharmaceutical composition comprises one or more antibodies of the invention and one or more prophylactic or therapeutic agents other than the antibodies of the invention for treating a condition in which IL-1β activity is detrimental. In one embodiment, the prophylactic or therapeutic agent is known to be suitable or has been used or is currently used to prevent, treat, control or ameliorate a condition or one or more symptoms thereof. According to these embodiments, the composition may further include a carrier, diluent, or excipient.

本發明之抗體及抗體部分可併入適於投與個體之醫藥組合物中。通常,醫藥組合物包含本發明之抗體或抗體部分及醫藥學上可接受之載劑。如本文所用之「醫藥學上可接受之載劑」包括生理上相容之任何及所有溶劑、分散介質、包衣、抗細菌劑及抗真菌劑、等張劑及吸收延遲劑及其類似物。醫藥學上可接受之載劑的實例包括水、鹽水、磷酸鹽緩衝鹽水、右旋糖、甘油、乙醇及其類似物中之一或多者,以及其組合。在許多情況下,組合物中較佳包括等張劑,例如糖、多元醇(諸如甘露糖醇、山梨糖醇)或氯化鈉。醫藥學上可接受之載劑可進一步包含微量的增強抗體或抗體部分之存放期或有效性之輔助物質, 諸如濕潤劑或乳化劑、防腐劑或緩衝劑。 The antibodies and antibody portions of the present invention can be incorporated into a pharmaceutical composition suitable for administration to an individual. Generally, a pharmaceutical composition comprises an antibody or antibody portion of the invention and a pharmaceutically acceptable carrier. "Pharmaceutically acceptable carrier" as used herein includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like that are physiologically compatible . Examples of pharmaceutically acceptable carriers include one or more of water, saline, phosphate buffered saline, dextrose, glycerol, ethanol, and the like, and combinations thereof. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, or sodium chloride in the composition. Pharmaceutically acceptable carriers may further contain minor amounts of auxiliary substances that enhance the shelf life or effectiveness of the antibody or antibody portion, Such as wetting or emulsifying agents, preservatives or buffering agents.

各種傳遞系統為已知的且可用於投與一或多種本發明抗體或一或多種本發明抗體與適用於預防、控制、治療或改善病症或其一或多種症狀之預防劑或治療劑的組合,例如囊封於脂質體、微粒、微膠囊中;能夠表現抗體或抗體片段之重組細胞;受體介導之內飲作用(參見例如Wu及Wu,J.Biol.Chem.262:4429-4432(1987));作為反轉錄病毒或其他載體之一部分來構築核酸等。投與本發明之預防劑或治療劑之方法包括(但不限於)非經腸投與(例如皮內、肌肉內、腹膜內、靜脈內及皮下)、硬膜外投與、瘤內投與及黏膜投與(例如鼻內及經口途徑)。另外,可採用肺部投藥,例如藉由使用吸入器或噴霧器,及用霧化劑調配。參見例如美國專利第6,019,968號、第5,985,320號、第5,985,309號、第5,934,272號、第5,874,064號、第5,855,913號及第5,290,540號;及PCT公開案第WO 92/19244號、第WO 97/32572號、第WO 97/44013號、第WO 98/31346號及第WO 99/66903號,各者以全文引用的方式併入本文中。在一實施例中,使用Alkermes AIR®肺部藥物傳遞技術(Alkermes,Inc.,Cambridge,Massachusetts)來投與本發明抗體或抗體部分、組合療法或本發明組合物。在一特定實施例中,經肌肉內、靜脈內、瘤內、經口、鼻內、肺部或皮下投與本發明之預防劑或治療劑。預防劑或治療劑可由任何適宜途徑投與,例如藉由輸注或快速注射,藉由經上皮或黏膜皮膚襯層(例如口腔黏膜、直腸及腸黏膜等)吸收,且可與其他生物活性劑一起投與。投藥可為全身性或局部投藥。 Various delivery systems are known and can be used to administer one or more antibodies of the invention or one or more antibodies of the invention in combination with prophylactic or therapeutic agents suitable for preventing, controlling, treating or ameliorating a disorder or one or more symptoms thereof , Such as encapsulated in liposomes, microparticles, microcapsules; recombinant cells capable of expressing antibodies or antibody fragments; receptor-mediated internal drinking effects (see, eg, Wu and Wu, J. Biol. Chem. 262: 4429-4432 (1987)); constructing nucleic acids, etc. as part of a retrovirus or other vector. Methods of administering the prophylactic or therapeutic agents of the present invention include, but are not limited to, parenteral administration (e.g., intradermal, intramuscular, intraperitoneal, intravenous and subcutaneous), epidural administration, intratumoral administration And mucosal administration (eg, intranasal and oral routes). Alternatively, pulmonary administration may be used, for example, by using an inhaler or nebulizer, and formulated with an atomizer. See, for example, U.S. Patent Nos. 6,019,968, 5,985,320, 5,985,309, 5,934,272, 5,874,064, 5,855,913, and 5,290,540; and PCT Publication Nos. WO 92/19244, WO 97/32572, WO 97/44013, WO 98/31346, and WO 99/66903, each of which is incorporated herein by reference in its entirety. In one embodiment, the antibody or antibody portion, combination therapy, or composition of the invention is administered using Alkermes AIR® pulmonary drug delivery technology (Alkermes, Inc., Cambridge, Massachusetts). In a specific embodiment, the prophylactic or therapeutic agent of the present invention is administered intramuscularly, intravenously, intratumorally, intraorally, intranasally, pulmonary or subcutaneously. Prophylactic or therapeutic agents can be administered by any suitable route, such as by infusion or rapid injection, absorbed through the epithelial or mucosal skin lining (such as oral mucosa, rectum, and intestinal mucosa, etc.), and can be combined with other bioactive agents Vote for. Administration can be systemic or local.

在一實施例中,抗體偶合之碳奈米管(CNT)在活體外與腫瘤細胞特異性結合,接著其藉由近紅外(NIR)光之高度特異性切除可用於靶向腫瘤細胞。舉例而言,經生物素標記之極性脂質可用於製備穩定、生物相容、非細胞毒性CNT分散液,其隨後連接至一或兩個針對一或 多種腫瘤抗原(例如CD22)之不同紐崔萊(neutralite)抗生物素蛋白來源之DVD-Ig(Chakravarty等人,Proc.Natl.Acad.Sci.USA,105:8697-8702(2008))。 In one embodiment, the antibody-coupled carbon nanotube (CNT) specifically binds to tumor cells in vitro, and then its highly specific resection by near-infrared (NIR) light can be used to target tumor cells. For example, biotin-labeled polar lipids can be used to prepare stable, biocompatible, non-cytotoxic CNT dispersions that are subsequently linked to one or two different neutralites directed against one or more tumor antigens, such as CD22 ) Avidin-derived DVD-Ig (Chakravarty et al., Proc. Natl. Acad. Sci. USA , 105: 8697-8702 (2008)).

在一特定實施例中,可能需要將本發明之預防劑或治療劑局部投與有治療需要之區域;此可藉由例如(但不限於)局部輸注、注射或藉助於植入物來達成,該植入物為多孔或無孔材料,包括膜及基質,諸如賽萊膜(sialastic membrane)、聚合物、纖維基質(例如Tissuel®)或膠原蛋白基質。在一實施例中,將有效量之一或多種本發明抗體拮抗劑局部投與個體之受侵襲區域以預防、治療、控制及/或改善病症或其症狀。在另一實施例中,將有效量之一或多種本發明抗體以及有效量之除本發明抗體以外之一或多種療法(例如一或多種預防劑或治療劑)局部投與個體之受侵襲區域以預防、治療、控制及/或改善病症或其一或多種症狀。 In a particular embodiment, it may be necessary to locally administer the prophylactic or therapeutic agent of the present invention to areas in need of treatment; this can be achieved by, for example, but not limited to, a local infusion, injection, or by means of an implant, The implant is a porous or non-porous material, including a membrane and a matrix, such as a sialastic membrane, a polymer, a fibrous matrix (such as Tissuel®), or a collagen matrix. In one embodiment, an effective amount of one or more antibody antagonists of the invention is administered topically to an affected area of an individual to prevent, treat, control and / or ameliorate a disorder or its symptoms. In another embodiment, an effective amount of one or more antibodies of the invention and an effective amount of one or more therapies (e.g., one or more prophylactic or therapeutic agents) other than the antibodies of the invention are administered locally to the affected area of the subject To prevent, treat, control and / or ameliorate a condition or one or more symptoms thereof.

在另一實施例中,可用控制釋放或持續釋放系統來傳遞預防劑或治療劑。在一實施例中,可使用泵達成控制釋放或持續釋放(參見Langer,同上;Sefton,M.V.,CRC Crit.Rev.Biomed.Eng.,14:201-240(1987);Buchwald等人,Surgery,88:507-516(1980);Saudek等人,N.Engl.J.Med.,321:574-579(1989))。在另一實施例中,可使用聚合材料達成本發明療法之控制釋放或持續釋放(參見例如Goodson,J.M.,第6章,Medical Applications of Controlled Release,第II卷,Applications and Evaluation,(Langer及Wise編)(CRC Press,Inc.,Boca Raton,1984)第115-138頁;Langer及Peppas,J.Macromol.Sci.Rev.Macromol.Chem.Phys.,C23(1):61-126(1983);亦參見Levy等人,Science,228:190-192(1985);During等人,Ann.Neurol.,25:351-356(1989);Howard等人,J.Neurosurg.,71:105-112(1989);美國專利第5,679,377號;美國專利第5,916,597號;美國專利第5,912,015號;美 國專利第5,989,463號;美國專利第5,128,326號;PCT公開案第WO 99/15154號;及PCT公開案第WO 99/20253號)。持續釋放調配物中所用之聚合物的實例包括(但不限於)聚(甲基丙烯酸2-羥基乙酯)、聚(甲基丙烯酸甲酯)、聚(丙烯酸)、聚(乙烯-共-乙酸乙烯酯)、聚(甲基丙烯酸)、聚乙交酯(PLG)、聚酸酐、聚(N-乙烯吡咯啶酮)、聚(乙烯醇)、聚丙烯醯胺、聚(乙二醇)、聚丙交酯(PLA)、聚(丙交酯-共-乙交酯)(PLGA)及聚原酸酯。在一例示性實施例中,持續釋放調配物中所用之聚合物呈惰性、不含可浸出雜質、儲存時穩定、無菌且生物可降解。在另一實施例中,控制釋放或持續釋放系統可鄰近預防性或治療性標靶置放,由此僅需要全身劑量之一部分(參見例如Goodson,Medical Applications of Controlled Release,同上,第2卷,第115-138頁(1984))。 In another embodiment, a controlled release or sustained release system can be used to deliver a prophylactic or therapeutic agent. In one embodiment, controlled release or sustained release can be achieved using a pump (see Langer, supra; Sefton, MV, CRC Crit. Rev. Biomed . Eng . , 14: 201-240 (1987); Buchwald et al., Surgery , 88: 507-516 (1980); Saudek et al., N. Engl. J. Med. , 321: 574-579 (1989)). In another embodiment, polymeric materials can be used to achieve controlled release or sustained release of the invention therapy (see, for example, Goodson, JM, Chapter 6, Medical Applications of Controlled Release, Volume II, Applications and Evaluation , (Langer and Wise (Ed.) (CRC Press, Inc., Boca Raton, 1984) pp. 115-138; Langer and Peppas, J. Macromol. Sci. Rev. Macromol. Chem. Phys . , C23 (1): 61-126 (1983) ; See also Levy et al., Science , 228: 190-192 (1985); During et al. , Ann. Neurol. , 25: 351-356 (1989); Howard et al., J. Neurosurg . , 71: 105-112 (1989); US Patent No. 5,679,377; US Patent No. 5,916,597; US Patent No. 5,912,015; US Patent No. 5,989,463; US Patent No. 5,128,326; PCT Publication No. WO 99/15154; and PCT Publication No. WO 99/20253). Examples of polymers used in sustained release formulations include, but are not limited to, poly (2-hydroxyethyl methacrylate), poly (methyl methacrylate), poly (acrylic acid), poly (ethylene-co-acetic acid) Vinyl ester), poly (methacrylic acid), polyglycolide (PLG), polyanhydride, poly (N-vinylpyrrolidone), poly (vinyl alcohol), polyacrylamide, poly (ethylene glycol), Polylactide (PLA), poly (lactide-co-glycolide) (PLGA), and polyorthoesters. In an exemplary embodiment, the polymer used in the sustained-release formulation is inert, contains no leachable impurities, is stable during storage, is sterile, and is biodegradable. In another embodiment, a controlled release or sustained release system can be placed adjacent to a prophylactic or therapeutic target, thereby requiring only a portion of the systemic dose (see, eg, Goodson, Medical Applications of Controlled Release , supra, vol. 2, 115-138 (1984)).

控制釋放系統於Langer之評述(Science,249:1527-1533(1990))中討論。可使用熟習此項技術者所知之任何技術來產生包含一或多種本發明治療劑之持續釋放調配物。參見例如美國專利第4,526,938號;PCT公開案第WO 91/05548號;PCT公開案第WO 96/20698號;Ning等人,「Intratumoral radioimmunotherapy of a human colon cancer xenograft using a sustained-release gel」,Radiotherapy Oncol.,39:179-189(1996);Song等人,「Antibody Mediated Lung Targeting of Long-Circulating Emulsions」,PDA J.Pharm.Sci.Technol.,50:372-377(1996);Cleek等人,「Biodegradable Polymeric Carriers for a bFGF Antibody for Cardiovascular Application」,Proceed.Int'l.Symp.Control.Rel.Bioact.Mater.,24:853-854(1997);及Lam等人,「Microencapsulation of Recombinant Humanized Monoclonal Antibody for Local Delivery」,Proceed.Int'l.Symp.Control Rel.Bioact.Mater.,24:759-760(1997),各者以全文引用的方式併入本文中。 Controlled release systems are discussed in the review by Langer ( Science , 249: 1527-1533 (1990)). Any technique known to those skilled in the art can be used to produce sustained release formulations comprising one or more therapeutic agents of the invention. See, for example, U.S. Patent No. 4,526,938; PCT Publication No. WO 91/05548; PCT Publication No. WO 96/20698; Ning et al., "Intratumoral radioimmunotherapy of a human colon cancer xenograft using a sustained-release gel", Radiotherapy Oncol., 39: 179-189 (1996); Song et al. "Antibody Mediated Lung Targeting of Long-Circulating Emulsions", PDA J. Pharm. Sci. Technol . , 50: 372-377 (1996); Cleek et al. "Biodegradable Polymeric Carriers for a bFGF Antibody for Cardiovascular Application", Proceed.Int'l.Symp.Control.Rel.Bioact.Mater. , 24: 853-854 (1997); and Lam et al., "Microencapsulation of Recombinant Humanized Monoclonal Antibody for Local Delivery ", Proceed.Int'l.Symp.Control Rel.Bioact.Mater. , 24: 759-760 (1997), each of which is incorporated herein by reference in its entirety.

在本發明之組合物為編碼預防劑或治療劑之核酸之一特定實施例中,可藉由作為適當核酸表現載體之一部分來構築核酸且投與其以使得其變成細胞內核酸來活體內投與該核酸以促進其所編碼之預防劑或治療劑的表現,此舉之實現係例如藉由使用反轉錄病毒載體(參見美國專利第4,980,286號),或藉由直接注射,或藉由使用微粒轟擊(例如基因槍;Biolistic®,DuPont),或以脂質或細胞表面受體或轉染劑包覆,或藉由將其與已知進入細胞核之同源盒樣肽(homeobox-like peptide)連接而投與(參見例如Joliot等人,Proc.Natl.Acad.Sci.USA,88:1864-1868(1991))。或者,可將核酸引入細胞內且併入宿主細胞DNA內以便藉由同源重組表現。 In a specific embodiment where the composition of the present invention is a nucleic acid encoding a prophylactic or therapeutic agent, the nucleic acid can be administered in vivo by constructing it as part of a suitable nucleic acid expression vector and administering it so that it becomes an intracellular nucleic acid. The nucleic acid promotes the performance of the encoded preventive or therapeutic agent, for example, by using a retroviral vector (see US Patent No. 4,980,286), or by direct injection, or by bombardment with particles (Eg gene gun; Biolistic®, DuPont), or coated with a lipid or cell surface receptor or transfection agent, or by linking it with a homeobox-like peptide known to enter the nucleus Administration (see, eg, Joliot et al., Proc. Natl. Acad. Sci. USA , 88: 1864-1868 (1991)). Alternatively, the nucleic acid can be introduced into a cell and incorporated into the host cell DNA for expression by homologous recombination.

本發明之醫藥組合物經調配以與其預定投藥途徑相容。投藥途徑之實例包括(但不限於)非經腸(例如靜脈內、皮內、皮下)、經口、鼻內(例如吸入)、經皮(例如局部)、經黏膜及直腸投藥。在一特定實施例中,根據常規程序將組合物調配成適於靜脈內、皮下、肌肉內、經口、鼻內或局部投與人類之醫藥組合物。通常,供靜脈內投與之組合物為於無菌等張水性緩衝劑中之溶液。必要時,組合物亦可包括增溶劑及局部麻醉劑(諸如利多卡因(lignocamne))以減輕注射部位處之疼痛。 The pharmaceutical composition of the invention is formulated to be compatible with its intended route of administration. Examples of routes of administration include, but are not limited to, parenteral (e.g. intravenous, intradermal, subcutaneous), oral, intranasal (e.g. inhalation), transdermal (e.g. topical), transmucosal and rectal administration. In a specific embodiment, the composition is formulated into a pharmaceutical composition suitable for intravenous, subcutaneous, intramuscular, oral, intranasal or topical administration to humans according to conventional procedures. Generally, compositions for intravenous administration are solutions in sterile isotonic aqueous buffer. Where necessary, the composition may also include a solubilizing agent and a local anesthetic such as lignocamne to reduce pain at the injection site.

若欲局部投與本發明之組合物,則可將組合物可調配成軟膏、乳膏、經皮貼片、洗劑、凝膠、洗髮精、噴霧劑、氣霧劑、溶液、乳液之形式或熟習此項技術者所熟知之其他形式。參見例如Remington's Pharmaceutical Sciences and Introduction to Pharmaceutical Dosage Forms,第19版,Mack Pub.Co.,Easton,Pa.(1995)。對於不可噴霧之局部劑型,通常採用包含與局部施用相容之載劑或一或多種賦形劑且動態黏度較佳大於水之黏性至半固體或固體形式。適合之調配物包括(但不限於)溶液、懸浮液、乳液、乳膏、軟膏、散劑、搽劑、油膏及 其類似物,必要時將其滅菌或與影響各種性質(諸如滲透壓)之助劑(例如防腐劑、穩定劑、濕潤劑、緩衝劑或鹽)混合。其他適合之局部劑型包括可噴霧氣霧劑製劑,其中較佳與固體或液體惰性載劑組合之活性成分與加壓揮發性物質(例如氣態推進劑,諸如FREON®)混合封裝或封裝於擠壓瓶中。必要時,亦可將增濕劑或保濕劑添加至醫藥組合物及劑型。該等其他成分之實例在此項技術中已為熟知。 If the composition of the present invention is to be administered topically, the composition can be formulated into ointments, creams, transdermal patches, lotions, gels, shampoos, sprays, aerosols, solutions, and emulsions. Form or other forms known to those skilled in the art. See, for example, Remington's Pharmaceutical Sciences and Introduction to Pharmaceutical Dosage Forms , 19th edition, Mack Pub. Co., Easton, Pa. (1995). For non-sprayable topical dosage forms, a viscous to semi-solid or solid form containing a carrier or one or more excipients compatible with topical application and preferably having a dynamic viscosity greater than water is generally employed. Suitable formulations include, but are not limited to, solutions, suspensions, emulsions, creams, ointments, powders, elixirs, ointments, and the like, and sterilize or, if necessary, affect properties such as osmotic pressure. Adjuvants (such as preservatives, stabilizers, wetting agents, buffers, or salts) are mixed. Other suitable topical dosage forms include sprayable aerosol formulations, where the active ingredient preferably combined with a solid or liquid inert carrier is mixed with a pressurized volatile substance (e.g., a gaseous propellant such as FREON®) or packaged in an extrusion In the bottle. If necessary, a moisturizing agent or a humectant may be added to the pharmaceutical composition and the dosage form. Examples of these other ingredients are well known in the art.

若本發明之方法包含鼻內投與組合物,則可將組合物調配成氣霧劑形式、噴霧劑、霧狀物或滴劑形式。詳言之,根據本發明使用之預防劑或治療劑宜藉助於適合之推進劑(例如二氯二氟甲烷、三氯氟甲烷、二氯四氟乙烷、二氧化碳或其他適合氣體)以來自加壓包裝或噴霧器之氣霧劑噴霧呈現形式傳遞。在加壓氣霧劑之情況下,劑量單位可藉由提供閥門以傳遞經計量之量來確定。用於吸入器或吹入器中之膠囊及藥包(由例如明膠組成)可經調配以含有化合物與適合粉末基劑(諸如乳糖或澱粉)的粉末混合物。 If the method of the present invention comprises administering the composition intranasally, the composition can be formulated in the form of an aerosol, a spray, a mist or a drop. In particular, the preventive or therapeutic agent used in accordance with the present invention is preferably derived from a suitable propellant such as dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas Aerosol sprays for compression packaging or sprayers are delivered in the form of a spray. In the case of pressurized aerosols, the dosage unit can be determined by providing a valve to deliver the metered amount. Capsules and kits (consisting of, for example, gelatin) for use in an inhaler or insufflator may be formulated to contain a powder mixture of the compound with a suitable powder base such as lactose or starch.

若本發明之方法包含經口投藥,則可將組合物調配成口服錠劑、膠囊、扁囊劑、膠囊錠(gelcap)、溶液、懸浮液形式及其類似形式。錠劑或膠囊可由習知方式用醫藥學上可接受之之賦形劑製備,該等賦形劑為諸如黏合劑(例如預膠凝化玉米澱粉、聚乙烯吡咯啶酮或羥丙基甲基纖維素);填充劑(例如乳糖、微晶纖維素或磷酸氫鈣);潤滑劑(例如硬脂酸鎂、滑石或二氧化矽);崩解劑(例如馬鈴薯澱粉或乙醇酸澱粉鈉);或濕潤劑(例如月桂基硫酸鈉)。錠劑可由此項技術中所熟知之方法包覆。供經口投與之液體製劑可採用(但不限於)溶液、糖漿或懸浮液之形式,或其可呈使用前用水或其他適合媒劑復原之乾燥產品形式。該等液體製劑可由習知方式用醫藥學上可接受之添加劑製備,該等添加劑為諸如懸浮劑(例如山梨糖醇糖漿、纖維素衍生物或氫化可食用脂肪);乳化劑(例如卵磷脂或阿拉伯膠);非水性媒劑(例如杏 仁油、油性酯、乙醇或分餾植物油);及防腐劑(例如對羥基苯甲酸甲酯或對羥基苯甲酸丙酯或山梨酸)。適當時,該等製劑亦可含有緩衝鹽、調味劑、著色劑及甜味劑。供經口投與之製劑宜經調配以供緩慢釋放、控制釋放或持續釋放預防劑或治療劑。 If the method of the present invention comprises oral administration, the composition can be formulated into oral lozenges, capsules, cachets, gelcaps, solutions, suspensions and the like. Lozenges or capsules may be prepared in a conventional manner using pharmaceutically acceptable excipients such as binders (e.g., pregelatinized corn starch, polyvinylpyrrolidone, or hydroxypropylmethyl) Cellulose); fillers (such as lactose, microcrystalline cellulose or dibasic calcium phosphate); lubricants (such as magnesium stearate, talc or silicon dioxide); disintegrants (such as potato starch or sodium starch glycolate); Or wetting agent (such as sodium lauryl sulfate). Lozenges can be coated by methods well known in the art. Liquid preparations for oral administration may take the form of, but are not limited to, solutions, syrups or suspensions, or they may be in the form of a dried product which is reconstituted with water or other suitable vehicle before use. These liquid preparations may be prepared in a conventional manner with pharmaceutically acceptable additives such as suspending agents (such as sorbitol syrup, cellulose derivatives or hydrogenated edible fats); emulsifiers (such as lecithin or Gum Arabic); non-aqueous vehicle (e.g. apricot Kernel oil, oily ester, ethanol or fractionated vegetable oil); and preservatives (such as methyl paraben or propyl paraben or sorbic acid). Where appropriate, these preparations may also contain buffer salts, flavoring agents, coloring agents, and sweetening agents. Formulations for oral administration should preferably be formulated for slow-, controlled-, or sustained-release prophylactic or therapeutic agents.

本發明之方法可包含例如藉由使用吸入器或噴霧器來肺部投與用霧化劑調配之組合物。參見例如美國專利第6,019,968號、第5,985,320號、第5,985,309號、第5,934,272號、第5,874,064號、第5,855,913號及第5,290,540號;及PCT公開案第WO 92/19244號、第WO 97/32572號、第WO 97/44013號、第WO 98/31346號及第WO 99/66903號,各者以全文引用的方式併入本文中。在一特定實施例中,使用Alkermes AIR®肺部藥物傳遞技術(Alkermes,Inc.,Cambridge,Massachusetts)來投與本發明抗體、組合療法及/或本發明組合物。 The method of the invention may include, for example, pulmonary administration of a composition formulated with an atomizer by using an inhaler or a nebulizer. See, for example, U.S. Patent Nos. 6,019,968, 5,985,320, 5,985,309, 5,934,272, 5,874,064, 5,855,913, and 5,290,540; and PCT Publication Nos. WO 92/19244, WO 97/32572, WO 97/44013, WO 98/31346, and WO 99/66903, each of which is incorporated herein by reference in its entirety. In a specific embodiment, the antibody, combination therapy, and / or composition of the invention is administered using Alkermes AIR® pulmonary drug delivery technology (Alkermes, Inc., Cambridge, Massachusetts).

本發明之方法可包含藉由注射(例如藉由快速注射或連續輸注)投與經調配用於非經腸投與之組合物。注射用調配物可呈添加有防腐劑之單位劑型(例如於安瓿中或多劑量容器中)。組合物可採用諸如於油性或水性媒劑中之懸浮液、溶液或乳液之形式,且可含有調配劑,諸如懸浮劑、穩定劑及/或分散劑。或者,活性成分可呈使用前用適合之媒劑(例如無菌無熱原質水)復原之粉末形式。 The method of the invention may include administering a composition formulated for parenteral administration by injection (eg, by bolus injection or continuous infusion). Formulations for injection may be presented in unit dosage forms (eg, in ampoules or multi-dose containers) with preservatives. The composition may take the form of a suspension, solution or emulsion in an oily or aqueous vehicle, and may contain formulating agents such as suspending, stabilizing and / or dispersing agents. Alternatively, the active ingredient may be in the form of a powder that is reconstituted with a suitable vehicle, such as sterile pyrogen-free water, before use.

本發明之方法可另外包含投與調配成儲槽式製劑之組合物。該等長效調配物可藉由植入(例如皮下或肌肉內)或藉由肌肉內注射而投與。因此,舉例而言,可用適合之聚合材料或疏水性材料(例如以於可接受之油中之乳液形式)或離子交換樹脂、或以微溶性衍生物形式(例如以微溶性鹽形式)來調配組合物。 The method of the present invention may further comprise administering a composition formulated into a tank formulation. Such long acting formulations can be administered by implantation (for example subcutaneously or intramuscularly) or by intramuscular injection. Thus, for example, it can be formulated with suitable polymeric or hydrophobic materials (e.g. in the form of emulsions in acceptable oils) or ion exchange resins, or in the form of sparingly soluble derivatives (e.g. in the form of sparingly soluble salts) combination.

本發明之方法涵蓋投與調配成中性或鹽形式之組合物。醫藥學上可接受之鹽包括與陰離子形成之鹽,諸如衍生自鹽酸、磷酸、乙酸、 草酸、酒石酸等之鹽;及與陽離子形成之鹽,諸如衍生自鈉、鉀、銨、鈣、氫氧化鐵、異丙胺、三乙胺、2-乙胺基乙醇、組胺酸、普魯卡因等之鹽。 The method of the invention encompasses administration of a composition formulated into a neutral or salt form. Pharmaceutically acceptable salts include salts formed with anions, such as derived from hydrochloric acid, phosphoric acid, acetic acid, Salts of oxalic acid, tartaric acid, etc .; and salts formed with cations, such as derived from sodium, potassium, ammonium, calcium, iron hydroxide, isopropylamine, triethylamine, 2-ethylaminoethanol, histamine, proca Wait for the salt.

一般而言,組合物之成分各別或以混合在一起之單位劑型(例如以乾燥凍乾粉末或無水濃縮物形式)於指示活性劑量的密閉容器(諸如安瓿或藥囊)中提供。當投藥模式為輸注時,組合物可用含有滅菌醫藥級水或鹽水之輸注瓶分配。當投藥模式為注射時,可提供注射用滅菌水或鹽水之安瓿以在投藥前混合各成分。 Generally, the ingredients of the composition are provided individually or in unit dosage forms mixed together (for example, in the form of a dry lyophilized powder or anhydrous concentrate) in a closed container, such as an ampoule or sachet, indicating the active dose. When the mode of administration is infusion, the composition can be dispensed with an infusion bottle containing sterile pharmaceutical grade water or saline. When the administration mode is injection, an ampoule of sterilized water or saline for injection can be provided to mix the ingredients before administration.

本發明亦特別提供將本發明之一或多種預防劑或治療劑或醫藥組合物封裝於指示藥劑量的密閉容器(諸如安瓿或藥囊)中。在一實施例中,本發明之一或多種預防劑或治療劑或醫藥組合物係以乾燥滅菌凍乾粉末或無水濃縮物形式提供於密閉容器中且可復原(例如用水或鹽水)至適於投與個體之濃度。本發明之一或多種預防劑或治療劑或醫藥組合物較佳以至少5mg、更佳至少10mg、至少15mg、至少25mg、至少35mg、至少45mg、至少50mg、至少75mg或至少100mg之單位劑量,以乾燥無菌凍乾粉末形式提供於密閉容器中。本發明之凍乾預防劑或治療劑或醫藥組合物應在2℃與8℃之間儲存於其初始容器中,且本發明之預防劑或治療劑或醫藥組合物應在復原後1個星期內、較佳5天內、72小時內、48小時內、24小時內、12小時內、6小時內、5小時內、3小時內或1小時內投與。在一替代實施例中,本發明之一或多種預防劑或治療劑或醫藥組合物係以液體形式提供於指示藥劑之量及濃度的密閉容器中。液體形式之所投與組合物較佳以至少0.25mg/ml、更佳至少0.5mg/ml、至少1mg/ml、至少2.5mg/ml、至少5mg/ml、至少8mg/ml、至少10mg/ml、至少15mg/kg、至少25mg/ml、至少50mg/ml、至少75mg/ml或至少100mg/ml提供於密閉容器中。液體形式應在2℃與8℃之間儲存於其初始容器中。 The present invention also particularly provides for encapsulating one or more of the preventive or therapeutic agents or pharmaceutical compositions of the present invention in a closed container (such as an ampoule or sachet) indicating the dose of the drug. In one embodiment, one or more of the prophylactic or therapeutic agents or pharmaceutical compositions of the present invention are provided in a closed container in the form of a dry sterilized lyophilized powder or an anhydrous concentrate and are reconstituted (e.g., water or saline) to a suitable The concentration administered to the individual. One or more prophylactic or therapeutic agents or pharmaceutical compositions of the present invention are preferably in a unit dose of at least 5 mg, more preferably at least 10 mg, at least 15 mg, at least 25 mg, at least 35 mg, at least 45 mg, at least 50 mg, at least 75 mg or at least 100 mg, Provided in a dry, sterile lyophilized powder in a closed container. The lyophilized preventive or therapeutic agent or pharmaceutical composition of the present invention should be stored in its original container between 2 ° C and 8 ° C, and the preventive or therapeutic agent or pharmaceutical composition of the present invention should be 1 week after recovery Within, preferably within 5 days, within 72 hours, within 48 hours, within 24 hours, within 12 hours, within 6 hours, within 5 hours, within 3 hours, or within 1 hour. In an alternative embodiment, one or more of the prophylactic or therapeutic agents or pharmaceutical compositions of the present invention are provided in a liquid form in a closed container indicating the amount and concentration of the agent. The administered composition in liquid form is preferably at least 0.25 mg / ml, more preferably at least 0.5 mg / ml, at least 1 mg / ml, at least 2.5 mg / ml, at least 5 mg / ml, at least 8 mg / ml, at least 10 mg / ml , At least 15 mg / kg, at least 25 mg / ml, at least 50 mg / ml, at least 75 mg / ml, or at least 100 mg / ml are provided in a closed container. The liquid form should be stored in its original container between 2 ° C and 8 ° C.

本發明之抗體及抗體部分可併入適於非經腸投與之醫藥組合物中。較佳將抗體或抗體部分製成含有0.1-250mg/ml抗體之可注射溶液。該可注射溶液可由於硬質或琥珀小瓶、安瓿或預填充注射器中之液體或凍乾劑型組成。緩衝劑可為L-組胺酸(1-50mM),最佳5-10mM,pH值為5.0至7.0(最佳pH值為6.0)。其他適合之緩衝劑包括(但不限於)丁二酸鈉、檸檬酸鈉、磷酸鈉或磷酸鉀。可使用濃度為0-300mM(對於液體劑型,最佳為150mM)之氯化鈉來改變溶液之毒性。對於凍乾劑型,可包括低溫保護劑,主要為0-10%蔗糖(最佳0.5-1.0%)。其他適合之低溫保護劑包括海藻糖及乳糖。對於凍乾劑型,可包括增積劑,主要為1-10%甘露糖醇(最佳2-4%)。液體劑型與凍乾劑型中均可使用穩定劑,主要為1-50mM L-甲硫胺酸(最佳5-10mM)。其他適合之增積劑包括甘胺酸、精胺酸,可以0-0.05%聚山梨醇酯-80(最佳0.005-0.01%)形式包括在內。其他界面活性劑包括(但不限於)聚山梨醇酯20及BRIJ界面活性劑。製成用於非經腸投與之可注射溶液形式的包含本發明之抗體或抗體部分的醫藥組合物可進一步包含可用作佐劑之藥劑,諸如用於增加治療性蛋白質(例如抗體)之吸收或分散的藥劑。尤其適用之佐劑為玻尿酸酶(諸如Hylenex®重組人類玻尿酸酶)。在可注射溶液中添加玻尿酸酶改良非經腸投藥、尤其皮下投藥後的人類生物可用性。其亦允許在較少疼痛及不適情況下的較大注射部位體積(亦即大於1ml),且使注射部位反應之發生率最小(參見PCT公開案第WO 2004/078140號及美國公開案第2006/104968號)。 The antibodies and antibody portions of the present invention can be incorporated into pharmaceutical compositions suitable for parenteral administration. The antibody or antibody portion is preferably made into an injectable solution containing 0.1-250 mg / ml antibody. The injectable solution may consist of liquid or lyophilized dosage forms in hard or amber vials, ampoules or pre-filled syringes. The buffer may be L-histidine (1-50 mM), preferably 5-10 mM, and a pH value of 5.0 to 7.0 (optimal pH value 6.0). Other suitable buffering agents include, but are not limited to, sodium succinate, sodium citrate, sodium phosphate, or potassium phosphate. Sodium chloride at a concentration of 0-300 mM (optimally 150 mM for liquid dosage forms) can be used to alter the toxicity of the solution. For lyophilized dosage forms, cryoprotectants can be included, mainly 0-10% sucrose (optimally 0.5-1.0%). Other suitable cryoprotectants include trehalose and lactose. For lyophilized dosage forms, a bulking agent may be included, mainly 1-10% mannitol (optimally 2-4%). Stabilizers can be used in both liquid and lyophilized formulations, mainly 1-50 mM L-methionine (optimally 5-10 mM). Other suitable accumulating agents include glycine and arginine, which can be included in the form of 0-0.05% polysorbate-80 (optimally 0.005-0.01%). Other surfactants include, but are not limited to, polysorbate 20 and BRIJ surfactants. A pharmaceutical composition comprising an antibody or antibody portion of the present invention in the form of an injectable solution for parenteral administration may further comprise an agent that can be used as an adjuvant, such as for increasing the therapeutic protein (e.g., antibody) Absorbed or dispersed medicament. A particularly suitable adjuvant is hyaluronidase (such as Hylenex® recombinant human hyaluronidase). Adding hyaluronidase to the injectable solution improves the human bioavailability after parenteral administration, especially after subcutaneous administration. It also allows for a larger injection site volume (ie, greater than 1 ml) with less pain and discomfort, and minimizes the incidence of injection site reactions (see PCT Publication No. WO 2004/078140 and US Publication No. 2006 / 104968).

本發明之組合物可呈多種形式。此等形式包括例如液體、半固體及固體劑型,諸如液體溶液(例如可注射溶液及可輸注溶液)、分散液或懸浮液、錠劑、丸劑、散劑、脂質體及栓劑。較佳形式視預定投藥模式及治療應用而定。典型的較佳組合物呈可注射溶液或可輸注溶液形式,諸如類似於用於以其他抗體使人類被動免疫之彼等者之組合 物。較佳投藥模式為非經腸(例如靜脈內、皮下、腹膜內、肌肉內)。在一例示性實施例中,藉由靜脈內輸注或注射投與抗體。在另一較佳實施例中,藉由肌肉內或皮下注射投與抗體。 The composition of the invention may take a variety of forms. Such forms include, for example, liquid, semi-solid, and solid dosage forms such as liquid solutions (e.g., injectable solutions and infusible solutions), dispersions or suspensions, lozenges, pills, powders, liposomes, and suppositories. The preferred form depends on the intended mode of administration and therapeutic application. Typical preferred compositions are in the form of injectable or infusible solutions, such as combinations similar to those used to passively immunize humans with other antibodies Thing. The preferred mode of administration is parenteral (eg, intravenous, subcutaneous, intraperitoneal, intramuscular). In an exemplary embodiment, the antibody is administered by intravenous infusion or injection. In another preferred embodiment, the antibodies are administered by intramuscular or subcutaneous injection.

治療組合物通常必須在製造及儲存條件下無菌且穩定。可將組合物調配成溶液、微乳液、分散液、脂質體或適於較高藥物濃度之其他有序結構。無菌可注射溶液可藉由將活性化合物(亦即抗體或抗體部分)以所需量與以上列舉之成分之一或其組合一起併入適當溶劑中,視需要繼之以過濾滅菌來製備。分散液一般係藉由將活性化合物併入含有基礎分散介質及以上所列舉之所需其他成分的無菌媒劑中來製備。在用於製備無菌可注射溶液之無菌凍乾粉末的情況下,較佳製備方法為真空乾燥及噴霧乾燥,其得到活性成分加上來自先前經無菌過濾溶液之任何其他所要成分的粉末。可例如藉由使用包衣(諸如卵磷脂)、在分散液之情況下藉由維持所需粒度及藉由使用界面活性劑來維持溶液之適當流動性。可藉由將延遲吸收劑(例如單硬脂酸鹽及明膠)包括於可注射組合物中來實現組合物之延長吸收。 Therapeutic compositions must generally be sterile and stable under the conditions of manufacture and storage. The composition can be formulated as a solution, microemulsion, dispersion, liposome, or other ordered structure suitable for higher drug concentration. Sterile injectable solutions can be prepared by incorporating the active compound (i.e., the antibody or antibody portion) in the required amount with one or a combination of the ingredients listed above in a suitable solvent, followed by filtration and sterilization if necessary. Dispersions are generally prepared by incorporating the active compound into a sterile vehicle that contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of a sterile lyophilized powder for the preparation of a sterile injectable solution, the preferred method of preparation is vacuum drying and spray drying, which results in a powder of the active ingredient plus any other desired ingredients from a previously sterile filtered solution. Proper fluidity of the solution can be maintained, for example, by using a coating such as lecithin, by maintaining the desired particle size in the case of a dispersion, and by using a surfactant. Prolonged absorption of the composition can be achieved by including delayed absorption agents such as monostearate and gelatin in the injectable composition.

本發明之結合蛋白可由此項技術中所知之多種方法投與,但對於許多治療應用,較佳投藥途徑/模式為皮下注射、靜脈內注射或輸注。如熟習此項技術者所瞭解,投藥途徑及/或模式視所要結果而變化。在某些實施例中,活性化合物可與保護化合物免於快速釋放之載劑一起製備,諸如控制釋放調配物,包括植入物、經皮貼片及微囊封傳遞系統。可使用生物可降解、生物相容性聚合物,諸如乙烯-乙酸乙烯酯、聚酸酐、聚乙醇酸、膠原蛋白、聚原酸酯及聚乳酸。製備該等調配物之許多方法已取得專利或一般為熟習此項技術者所知。參見例如參見例如Sustained and Controlled Release Drug Delivery Systems,(J.R.Robinson編)(Marcel Dekker,Inc.,New York,1978)。 The binding protein of the present invention can be administered by a variety of methods known in the art, but for many therapeutic applications, the preferred route / mode of administration is subcutaneous injection, intravenous injection or infusion. As understood by those skilled in the art, the route and / or mode of administration will vary depending on the desired result. In certain embodiments, the active compound may be prepared with a vehicle that protects the compound against rapid release, such as a controlled release formulation, including implants, transdermal patches, and microencapsulated delivery systems. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Many methods of preparing such formulations are patented or generally known to those skilled in the art. See, for example, see, for example , Sustained and Controlled Release Drug Delivery Systems , (ed. JR Robinson) (Marcel Dekker, Inc., New York, 1978).

在某些實施例中,本發明之抗體或抗體部分可例如與惰性稀釋劑 或可同化之可食用載劑一起經口投與。化合物(必要時與其他成分)亦可封裝於硬殼或軟殼明膠膠囊中,壓製成錠劑,或直接併入個體之膳食中。對於經口治療性投藥,化合物可與賦形劑合併且以可攝取錠劑、經頰錠劑、糖衣錠、膠囊、酏劑、懸浮液、糖漿、粉片(wafer)及其類似物之形式使用。為藉由除非經腸投藥以外之方式投與本發明之化合物,可能必需用防止化合物失活之物質包覆化合物,或將化合物與防止化合物失活之物質一起共同投與。 In certain embodiments, an antibody or antibody portion of the invention can be, for example, an inert diluent Or it can be administered orally with an assimilated edible carrier. The compounds (with other ingredients if necessary) can also be enclosed in hard or soft shell gelatin capsules, compressed into lozenges, or incorporated directly into the diet of the individual. For oral therapeutic administration, the compounds may be combined with excipients and used in the form of ingestible lozenges, buccal tablets, dragees, capsules, elixirs, suspensions, syrups, wafers and the like . In order to administer the compound of the present invention by means other than enteral administration, it may be necessary to coat the compound with a substance to prevent inactivation of the compound, or to co-administer the compound with a substance to prevent inactivation of the compound.

補充活性化合物亦可併入組合物中。在某些實施例中,本發明之抗體或抗體部分與一或多種適用於治療IL-1β活性有害之病症的其他治療劑共同調配及/或共同投與。舉例而言,本發明之抗人類IL-1β抗體或抗體部分可與一或多種結合其他標靶之其他抗體(例如結合其他細胞激素或結合細胞表面分子之抗體)一起共同調配及/或共同投與。此外,一或多種本發明抗體可與兩種或兩種以上前述治療劑組合使用。該等組合療法宜利用較低劑量之所投與治療劑,由此避免與各種單一療法相關之可能毒性或併發症。 Supplementary active compounds can also be incorporated into the composition. In certain embodiments, an antibody or antibody portion of the invention is co-formulated and / or co-administered with one or more other therapeutic agents suitable for treating conditions in which IL-1β activity is detrimental. For example, the anti-human IL-1β antibody or antibody portion of the present invention can be co-formulated and / or co-administered with one or more other antibodies that bind other targets (such as antibodies that bind other cytokines or cell surface molecules). versus. In addition, one or more antibodies of the present invention can be used in combination with two or more of the foregoing therapeutic agents. These combination therapies should preferably utilize lower doses of the administered therapeutic agent, thereby avoiding possible toxicity or complications associated with various monotherapy.

在某些實施例中,針對IL-1β之抗體或其片段與此項技術中所知之半衰期延長媒劑連接。該等媒劑包括(但不限於)Fc域、聚乙二醇及聚葡萄糖。該等媒劑描述於例如美國申請案第09/428,082號(現為美國專利第6,660,843號)中,其出於任何目的而以引用的方式併入本文中。 In certain embodiments, an antibody or fragment thereof directed to IL-Ιβ is linked to a half-life extending vehicle known in the art. Such vehicles include, but are not limited to, the Fc domain, polyethylene glycol, and polydextrose. Such vehicles are described, for example, in US Application No. 09 / 428,082 (now US Patent No. 6,660,843), which is incorporated herein by reference for any purpose.

在一特定實施例中,投與包含編碼本發明抗體或本發明之另一預防劑或治療劑之核苷酸序列的核酸序列以經由基因療法治療、預防、控制或改善病症或其一或多種症狀。基因療法係指藉由向個體投與已表現或可表現之核酸而進行之療法。在本發明之此實施例中,核酸產生其所編碼之介導預防或治療作用之本發明抗體或預防劑或治療劑。 In a specific embodiment, a nucleic acid sequence comprising a nucleotide sequence encoding an antibody of the invention or another preventive or therapeutic agent of the invention is administered to treat, prevent, control or ameliorate a condition or one or more thereof via gene therapy symptom. Gene therapy refers to a therapy performed by administering an expressed or expressible nucleic acid to an individual. In this embodiment of the invention, the nucleic acid produces an antibody or prophylactic or therapeutic agent of the invention that it encodes to mediate a prophylactic or therapeutic effect.

可根據本發明使用此項技術中可利用之用於基因療法之任何方 法。關於基因療法之方法的一般評述,參見Goldspiel等人,Clinical Pharm.,12:488-505(1993);Wu等人,「Delivery systems for gene therapy」,Biotherapy,3:87-95(1991);Tolstoshev,P.,Ann.Rev.Pharmacol.Toxicol.,32:573-596(1993);Mulligan,R.C.,Science,260:926-932(1993);及Morgan及Anderson,「Human Gene Therapy」,Ann.Rev.Biochem.,62:191-217(1993);Robinson,C.,Trends Biotechnol.,11:155(1993)。此項技術中通常所知之可用重組DNA技術之方法描述於Ausubel等人(編),Current Protocols in Molecular Biology,John Wiley & Sons,New York(1993);及Kriegler,Gene Transfer and Expression,Laboratory Manual,Stockton Press,New York(1990)中。基因療法之各種方法的詳細描述揭示於美國公開案第2005/0042664 A1號中,其以引用的方式併入本文中。 Any method available in the art for gene therapy can be used in accordance with the present invention. For a general review of methods of gene therapy, see Goldspiel et al., Clinical Pharm. , 12: 488-505 (1993); Wu et al., "Delivery systems for gene therapy", Biotherapy , 3: 87-95 (1991); Tolstoshev, P., Ann. Rev. Pharmacol. Toxicol . , 32: 573-596 (1993); Mulligan, RC, Science , 260: 926-932 (1993); and Morgan and Anderson, "Human Gene Therapy", Ann Rev. Biochem. , 62: 191-217 (1993); Robinson, C., Trends Biotechnol. , 11: 155 (1993). Methods commonly known in the art for use of recombinant DNA technology are described in Ausubel et al. (Eds.), Current Protocols in Molecular Biology , John Wiley & Sons, New York (1993); and Kriegler, Gene Transfer and Expression, Laboratory Manual Stockton Press, New York (1990). A detailed description of various methods of gene therapy is disclosed in US Publication No. 2005/0042664 A1, which is incorporated herein by reference.

IL-1家族成員(IL-1β及IL-1α)在與涉及免疫及發炎要素之多種疾病相關之病理學方面起關鍵作用。本文所述之IL-1結合蛋白可投與個體來治療該等病症。在一實施例中,可藉由包含向個體投與本文所述之IL-1結合蛋白之本發明方法來治療的病症包括(但不限於)糖尿病;葡萄膜炎;神經痛;骨關節炎疼痛;發炎性疼痛;類風濕性關節炎;骨關節炎;幼年型慢性關節炎;敗血性關節炎;萊姆關節炎;牛皮癬性關節炎;反應性關節炎;脊椎關節病;全身性紅斑狼瘡(SLE);克羅恩氏病;潰瘍性結腸炎;發炎性腸病;自體免疫糖尿病;胰島素依賴性糖尿病;甲狀腺炎;哮喘;過敏性疾病;牛皮癬;皮炎;硬皮病;移植物抗宿主疾病;器官移植排斥反應;與器官移植相關之急性免疫疾病;與器官移植相關之慢性免疫疾病;類肉瘤病;動脈粥樣硬化;散播性血管內凝血(DIC);川崎氏病;格雷氏病;腎病症候群;慢性疲勞症候群;韋格納氏肉芽腫病;亨偌-絲奇恩賴紫癜;腎顯微性血管炎;慢性活動性肝炎;自體免疫葡萄膜炎;敗血性休克;中毒 性休克症候群;敗血症候群;惡病質;感染性疾病;寄生蟲疾病;急性橫貫性脊髓炎;亨廷頓氏舞蹈病;帕金森氏病;阿茲海默氏病;中風;原發性膽汁性肝硬化;溶血性貧血;惡性疾病;心臟衰竭;心肌梗塞;艾狄森氏病;偶發性I型多腺體分泌不足症;II型多腺體分泌不足症(施密特氏症候群);急性呼吸窘迫症候群(ARDS);脫髮;斑形脫髮;血清陰性關節病;關節病;萊特爾氏病;牛皮癬性關節病;潰瘍性結腸關節病;腸病性滑膜炎;衣原體疾病;耶氏桿菌及沙門氏菌相關性關節病;脊椎關節病;動脈粥樣化疾病/動脈硬化;異位性過敏;自體免疫大皰性疾病;尋常天疱瘡;落葉型天疱瘡;類天疱瘡;線性IgA疾病;自體免疫溶血性貧血;庫姆氏陽性溶血性貧血;後天惡性貧血;幼年型惡性貧血;肌痛腦炎/皇家自由疾病;慢性黏膜皮膚念珠菌病;巨細胞動脈炎(GCA);原發性硬化性肝炎;隱源性自體免疫肝炎;後天免疫缺乏症候群(AIDS);後天免疫缺乏相關疾病;B型肝炎;C型肝炎;一般變異型免疫缺乏症(一般變異型低丙種球蛋白血症);擴張型心肌症;女性不孕症;卵巢衰竭;卵巢早衰;纖維變性肺病;隱源性纖維化肺泡炎;發炎後間質性肺病;間質性肺炎;結締組織疾病相關之間質性肺病;混合性結締組織疾病相關之肺病;全身性硬化症相關之間質性肺病;類風濕性關節炎相關之間質性肺病;全身性紅斑狼瘡相關之肺病;皮肌炎/多肌炎相關之肺病;休格連氏病相關之肺病;僵直性脊椎炎相關之肺病;血管炎彌漫性肺病;含鐵血黃素沉著症相關之肺病;藥物誘發性間質性肺病;纖維化;放射性纖維化;阻塞性細支氣管炎;慢性嗜伊紅性肺炎;淋巴球性浸潤性肺病;感染後間質性肺病;痛風性關節炎;自體免疫肝炎;1型自體免疫肝炎(典型自體免疫肝炎或類狼瘡肝炎);2型自體免疫肝炎(抗LKM抗體肝炎);自體免疫介導之低血糖症;伴有黑棘皮病之B型胰島素抗性;副甲狀腺低能症;骨關節炎;原發性硬化性膽管炎;1型牛皮 癬;2型牛皮癬;特發性白血球減少症;自體免疫性嗜中性白血球減少症;NOS腎病;絲球體腎炎;腎顯微性血管炎;萊姆病;盤狀紅斑狼瘡;特發性男性不育症;氧化氮相關性男性不育症;精子自體免疫症;多發性硬化症(所有亞型,包括原發進展型、繼發進展型、復發緩解型);交感性眼炎;因結締組織疾病繼發之肺循環血壓過高;古德帕斯徹氏症候群;結節性多動脈炎之肺部表現;急性風濕熱;類風濕性脊椎炎;斯蒂爾氏病;全身性硬化症;休格連氏症候群;高安氏病/動脈炎;自體免疫血小板減少症(AITP);特發性血小板減少症;自體免疫甲狀腺病;甲狀腺機能亢進;甲狀腺腫性自體免疫性甲狀腺低能症(橋本氏病);萎縮性自體免疫性甲狀腺低能症;原發性黏液水腫;晶狀體源性葡萄膜炎;原發性血管炎;白斑症;急性肝病;慢性肝病;酒精性肝硬化;酒精誘發性肝損傷;膽汁淤積;特異體質性肝病;藥物誘發性肝炎;非酒精性脂肪變性肝炎;過敏症;B群鏈球菌(GBS)感染;精神障礙(例如抑鬱症及精神分裂症);Th2型及Th1型介導之疾病;急性及慢性疼痛(不同形式之疼痛);癌症(諸如肺癌、乳癌、胃癌、膀胱癌、結腸癌、胰臟癌、卵巢癌、前列腺癌及直腸癌);造血性惡性疾病;白血病;淋巴瘤;無β脂蛋白血症;手足發紺;急性及慢性寄生或感染過程;急性白血病;急性淋巴母細胞白血病(ALL);T細胞ALL;FAB ALL;急性骨髓白血病(AML);急性或慢性細菌感染;急性胰臟炎;急性腎衰竭;腺癌;心房異位搏動;AIDS癡呆綜合症;酒精誘發性肝炎;過敏性結膜炎;過敏性接觸性皮炎;過敏性鼻炎;同種異體移植排斥反應;α-l抗胰蛋白酶缺乏症;肌萎縮性側索硬化;貧血;心絞痛;前角細胞退化;抗CD3療法;抗磷脂症候群;抗受體過敏性反應;主動脈及周邊動脈瘤;主動脈剝離;動脈高血壓;動脈硬化;動靜脈瘺;共濟失調;心房纖維性顫動(持續性或陣發性);心房撲動;房室傳導阻滯;B細胞淋巴瘤; 骨移植排斥反應;骨髓移植(BMT)排斥反應;束支傳導阻滯;伯基特氏淋巴瘤;灼傷;心律不整;心臟頓抑症候群;心臟腫瘤;心肌病;心肺繞道發炎反應;軟骨移植排斥反應;小腦皮質退化;小腦病症;紊亂性或多灶性房性心跳過速;化學療法相關之病症;慢性骨髓性白血病(CML);慢性酒精中毒;慢性發炎病變;慢性淋巴球性白血病(CLL);慢性阻塞性肺病(COPD);慢性水楊酸鹽中毒;結腸直腸癌;充血性心臟衰竭;結膜炎;接觸性皮炎;肺原性心臟病;冠狀動脈疾病;庫賈氏病;培養陰性敗血症;囊腫性纖維化;細胞激素療法相關之病症;拳擊員癡呆;脫髓鞘病;出血性登革熱;皮炎;皮膚病狀;糖尿病;糖尿病性動脈硬化病;泛發性路易體疾病;擴張型充血性心肌病;基底神經節病症;中年唐氏症候群;由阻斷CNS多巴胺受體之藥物誘發的藥物誘發性運動障礙;藥物過敏;濕疹;腦脊髓炎;心內膜炎;內分泌病;會厭炎;埃-巴二氏病毒感染;紅斑性肢痛;錐體外及小腦病症;家族性噬血淋巴組織球增多症;胎兒胸腺植入物排斥反應;弗里德賴希氏共濟失調;功能性周邊動脈病症;真菌敗血症;氣性壞疽;胃潰瘍;腎小球性腎炎;任何器官或組織之移植排斥反應;革蘭氏陰性敗血症;革蘭氏陽性敗血症;由細胞內有機體所致之肉芽腫;毛細胞白血病;哈-施二氏病;橋本氏甲狀腺炎;花粉熱;心臟移植排斥反應;血色素沉著症;血液透析;溶血性尿毒癥症候群/溶解血栓性血小板減少性紫癜;出血;A型肝炎;希氏束心律不整;HIV感染/HIV神經病;霍奇金氏病;過動性運動障礙;過敏性反應;過敏性肺炎;高血壓;運動功能減退性運動障礙;下丘腦-垂體-腎上腺軸評估;特發性艾狄森氏病;特發性肺纖維化(IPF);抗體介導之細胞毒性;衰弱;嬰兒脊髓性肌萎縮;主動脈發炎;A型流行性感冒;電離輻射曝露;虹膜睫狀體炎/葡萄膜炎/視神經炎;缺血-再灌注損傷;缺血性中風;幼年型類風濕性關節炎;幼年型脊髓性肌萎縮; 卡波西氏肉瘤;腎移植排斥反應;退伍軍人桿菌病;利什曼病;麻風;皮質脊髓系統病變;脂肪水腫;肝臟移植排斥反應;淋巴水腫;瘧疾;惡性淋巴瘤;惡性組織球增多症;惡性黑色素瘤;腦膜炎;腦膜炎球菌血症;代謝症候群;偏頭痛;特發性偏頭痛;粒線體多系統病症;混合性結締組織疾病;單株丙種球蛋白病;多發性骨髓瘤;多發性系統退化(曼切、代哲因-托馬斯、夏伊-德雷格及馬查多-約瑟夫);重症肌無力;胞內鳥型分枝桿菌病;結核分枝桿菌病;骨髓發育不良症候群;心肌梗塞;心肌缺血性病症;鼻咽癌;新生兒慢性肺病;腎炎;腎病;神經退化性疾病;神經性I型肌肉萎縮;嗜中性球減少性發燒;非霍奇金氏淋巴瘤;腹主動脈及其分支閉塞;閉塞性動脈病症;OKT3®療法;睪丸炎/附睪炎;睪丸炎/輸精管重新接合術;器官腫大;骨質疏鬆症;胰臟移植排斥反應;胰臟癌;腫瘤伴生徵候群/惡性血鈣過多;副甲狀腺移植排斥反應;骨盆發炎疾病;常年性鼻炎;心包疾病;周邊動脈粥樣硬化疾病;周邊血管性病症;腹膜炎;惡性貧血;卡氏肺囊蟲肺炎;肺炎;POEMS症候群(多發性神經病、器官腫大、內分泌病、單株丙種球蛋白病及皮膚變化症候群);灌注後症候群;泵後症候群;MI心切開術後症候群;子癇前期;進行性核上麻痹;原發性肺動脈高血壓;放射療法;雷諾氏現象;雷諾氏疾病;雷富孫氏病;規則窄QRS心跳過速;腎血管性高血壓;再灌注損傷;限制性心肌病;肉瘤;老年性舞蹈病;路易體型老年癡呆症;血清陰性關節病;休克;鐮狀細胞貧血;皮膚同種異體移植排斥反應;皮膚變化症候群;小腸移植排斥反應;實體腫瘤;特殊心律不整;脊髓性共濟失調;脊髓小腦退化;鏈球菌肌炎;小腦結構病變;亞急性硬化性泛腦炎;暈厥;心血管系統梅毒;全身性過敏症;全身性發炎反應症候群;全身性發作幼年型類風濕性關節炎;毛細管擴張;血栓閉塞性血管炎;血小板減少症;毒性;移植;外傷/出血; III型過敏性反應;IV型過敏;不穩定型絞痛;尿毒癥;尿路敗血症;蕁麻疹;心臟瓣膜疾病;靜脈曲張;血管炎;靜脈疾病;靜脈血栓形成;心室纖維性顫動;病毒及真菌感染;病毒性腦炎/無菌性腦膜炎;病毒相關性噬血細胞症候群;韋尼克-科爾薩科夫症候群;威爾遜氏病;任何器官或組織之異種移植排斥反應;急性冠狀動脈症候群;急性特發性多發性神經炎;急性發炎性脫髓鞘多神經根神經病;急性缺血;成人斯蒂爾氏病;斑形脫髮;全身性過敏反應;抗磷脂抗體症候群;再生不全性貧血;動脈硬化;異位性濕疹;異位性皮炎;自體免疫皮炎;與鏈球菌感染相關之自體免疫病症;自體免疫腸病;自體免疫聽力喪失;自體免疫淋巴增生症候群(ALPS);自體免疫心肌炎;自體免疫卵巢早衰;眼瞼炎;支氣管擴張症;大皰性類天疱瘡;心血管疾病;災難性抗磷脂症候群;乳糜瀉;頸椎關節黏連;慢性缺血;瘢痕性類天疱瘡;伴有多發性硬化症風險之臨床上分離症候群(CIS);結膜炎;兒童期發作型精神病症;淚囊炎;皮肌炎;糖尿病性視網膜病;椎間盤突出;椎間盤脫出;藥物誘發性免疫溶血性貧血;心內膜炎;子宮內膜異位;內眼炎;上鞏膜炎;多形性紅斑;重症多形性紅斑;妊娠期類天疱瘡;格-巴二氏症候群(GBS);花粉熱;休斯症候群;特發性帕金森氏病;特發性間質性肺炎;IgE介導之過敏症;免疫溶血性貧血;包涵體肌炎;感染性眼部發炎疾病;發炎性脫髓鞘病;發炎性心臟病;發炎性腎病;虹膜炎;角膜炎;乾躁性角膜結膜炎;庫氏病或庫-梅二氏病;蘭德里氏麻痹;蘭氏細胞組織球增多症;網狀青斑;黃斑變性;顯微性多血管炎;白赫鐵列夫症;運動神經元病症;黏膜類天疱瘡;多重器官衰竭;重症肌無力;骨髓發育不良症候群;心肌炎;神經根病症;神經病;非A型非B型肝炎;視神經炎;骨質溶解;少關節型JRA;周邊動脈閉塞性疾病(PAOD);周邊血管疾病(PVD);周邊動脈疾病(PAD);靜脈炎;結節性多動脈 炎(或結節性動脈周圍炎);多軟骨炎;風濕性多肌痛;白髮症;多關節型JRA;多發性內分泌缺乏症候群;多肌炎;風濕性多肌痛(PMR);泵後症候群;原發性帕金森氏症;繼發性帕金森氏症;前列腺炎;純紅血球再生不良;原發性腎上腺機能不全;復發性視神經脊髓炎;再狹窄;風濕性心臟病;SAPHO(滑膜炎、痤瘡、膿皰病、骨肥大及骨炎);繼發性澱粉樣變性;休克肺;鞏膜炎;坐骨神經痛;繼發性腎上腺機能不全;聚矽氧相關性結締組織疾病;斯-威二氏皮膚病;僵直性脊椎炎;史蒂芬-瓊森症候群(SJS);全身性發炎反應症候群;顳動脈炎;弓形蟲視網膜炎;中毒性表皮壞死溶解;橫貫性脊髓炎;TRAPS(1型腫瘤壞死因子受體(TNFR)相關之週期性症候群);伴有黑棘皮病之B型胰島素抗性;1型過敏性反應;II型糖尿病;蕁麻疹;普通型間質性肺炎(UIP);春季結膜炎;病毒性視網膜炎;伏格特-小柳-原田症候群(VKH症候群);濕性黃斑變性;創傷癒合;耶氏桿菌及沙門氏菌相關性關節病。 Members of the IL-1 family (IL-1β and IL-1α) play a key role in the pathology associated with a variety of diseases involving immune and inflammatory elements. The IL-1 binding proteins described herein can be administered to individuals to treat these conditions. In one embodiment, conditions that can be treated by a method of the invention comprising administering to a subject an IL-1 binding protein described herein include, but are not limited to, diabetes; uveitis; neuralgia; osteoarthritis pain Inflammatory pain; rheumatoid arthritis; osteoarthritis; juvenile chronic arthritis; septic arthritis; Lyme arthritis; psoriasis arthritis; reactive arthritis; spinal arthropathy; systemic lupus erythematosus ( SLE); Crohn's disease; ulcerative colitis; inflammatory bowel disease; autoimmune diabetes; insulin-dependent diabetes; thyroiditis; asthma; allergic disease; psoriasis; dermatitis; scleroderma; graft-versus-host Disease; organ transplant rejection; acute immune disease related to organ transplant; chronic immune disease related to organ transplant; sarcomatoid disease; atherosclerosis; disseminated intravascular coagulation (DIC); Kawasaki's disease; Gray disease Renal disease syndrome; Chronic fatigue syndrome; Wegener's granulomatosis; Heng-Schienlai purpura; Renal microangitis; Chronic active hepatitis; Autoimmune Grapes meningitis; septic shock; poisoning Septic syndrome; sepsis syndrome; cachexia; infectious disease; parasitic disease; acute transverse myelitis; Huntington's disease; Parkinson's disease; Alzheimer's disease; stroke; primary biliary cirrhosis Hemolytic anemia; Malignant disease; Heart failure; Myocardial infarction; Addison's disease; Occasional type 1 polyglandular hyposecretion; Type II polyglandular hyposecretion (Schmidt's syndrome); Acute respiratory distress Syndrome (ARDS); hair loss; patchy hair loss; sero-negative arthropathy; arthropathy; Wright's disease; psoriasis arthropathy; ulcerative colon arthropathy; enteric synovitis; chlamydia disease; Yersinia and Salmonella Associated arthropathy; Spinal arthropathy; Atherosclerosis / arteriosclerosis; Atopic allergy; Autoimmune bullous disease; Pemphigus vulgaris; Pemphigus decidans; Pemphigoid; Linear IgA disease; Autologous Immune hemolytic anemia; Qom's positive hemolytic anemia; acquired malignant anemia; juvenile malignant anemia; myalgia encephalitis / royal free disease; chronic mucosal skin candidiasis; macroscopic Cell arteritis (GCA); Primary sclerosing hepatitis; Cryptogenic autoimmune hepatitis; Acquired immune deficiency syndrome (AIDS); Acquired immune deficiency-related diseases; Hepatitis B; Hepatitis C; General variant immunodeficiency (General variant hypogammaglobulinemia); dilated cardiomyopathy; female infertility; ovarian failure; premature ovarian failure; fibrotic lung disease; cryptogenic fibrotic alveolitis; interstitial lung disease after inflammation; interstitial Pneumonia; Connective tissue disease-related interstitial lung disease; Mixed connective tissue disease-related lung disease; Systemic sclerosis-related interstitial lung disease; Rheumatoid arthritis-related interstitial lung disease; Systemic lupus erythematosus-related Pulmonary disease; Dermatomyositis / polymyositis-associated lung disease; Sjogren's disease-associated lung disease; Ankylosing spondylitis-associated lung disease; Vasculitis diffuse lung disease; Hemosiderin-associated lung disease; Drug-induced interstitial Fibrosis; Fibrosis; Radiofibrosis; Obstructive bronchiolitis; Chronic eosinophilic pneumonia; Lymphocytic invasive lung disease; Interstitial lung disease after infection; Gouty joints Inflammation; autoimmune hepatitis; type 1 autoimmune hepatitis (typical autoimmune hepatitis or lupus-like hepatitis); type 2 autoimmune hepatitis (anti-LKM antibody hepatitis); autoimmune-mediated hypoglycemia; accompanied by Type B insulin resistance of acanthosis nigricans; parathyroid hypokinesis; osteoarthritis; primary sclerosing cholangitis; type 1 cowhide Ringworm; type 2 psoriasis; idiopathic leukopenia; autoimmune neutropenia; NOS nephropathy; filamentous nephritis; renal microangiitis; Lyme disease; discoid lupus erythematosus; idiopathic Male infertility; nitric oxide-related male infertility; sperm autoimmune disease; multiple sclerosis (all subtypes, including primary progressive, secondary progressive, relapsing-remitting); sympathetic ophthalmia; Hypercirculatory blood pressure secondary to connective tissue disease; Good Paster syndrome; pulmonary manifestations of nodular polyarteritis; acute rheumatic fever; rheumatoid spondylitis; Still's disease; systemic sclerosis Huguelian's syndrome; High's disease / arteritis; autoimmune thrombocytopenia (AITP); idiopathic thrombocytopenia; autoimmune thyroid disease; hyperthyroidism; goiter autoimmune hypothyroidism Disease (Hashimoto's disease); atrophic autoimmune thyroid hypofunction; primary myxedema; lens-derived uveitis; primary vasculitis; white spot disease; acute liver disease; chronic liver disease; alcoholic cirrhosis Alcohol-induced liver damage; cholestasis; specific constitutional liver disease; drug-induced hepatitis; non-alcoholic steatohepatitis; allergies; group B streptococcus (GBS) infection; mental disorders (such as depression and schizophrenia) Th2 and Th1 mediated diseases; acute and chronic pain (different forms of pain); cancer (such as lung, breast, stomach, bladder, colon, pancreas, ovarian, prostate and rectal cancer) Hematopoietic malignant disease; Leukemia; Lymphoma; Beta lipoproteinemia; Hand and foot cyanosis; Acute and chronic parasitic or infectious processes; Acute leukemia; Acute lymphoblastic leukemia (ALL); T cell ALL; FAB ALL; Acute bone marrow Leukemia (AML); Acute or chronic bacterial infection; Acute pancreatitis; Acute renal failure; Adenocarcinoma; Atrial ectopic beat; AIDS dementia syndrome; Alcohol-induced hepatitis; Allergic conjunctivitis; Allergic contact dermatitis; Allergic Rhinitis; allograft rejection; alpha-1 antitrypsin deficiency; amyotrophic lateral sclerosis; anemia; angina pectoris; anterior horn cell degeneration; anti-CD3 therapy Antiphospholipid syndrome; antireceptor allergic reaction; aortic and peripheral aneurysms; aortic dissection; arterial hypertension; arteriosclerosis; arteriovenous fistula; ataxia; atrial fibrillation (persistent or paroxysmal); Atrial flutter; atrioventricular block; B-cell lymphoma; Bone graft rejection; Bone marrow transplantation (BMT) rejection; bundle branch block; Burkitt's lymphoma; burns; arrhythmia; cardiac stun syndrome; cardiac tumors; cardiomyopathy; heart and lung bypass inflammation; cartilage transplant rejection Cerebellar cortical degeneration; Cerebellar disorders; Disordered or multifocal atrial tachycardia; Chemotherapy-related disorders; Chronic myelogenous leukemia (CML); Chronic alcoholism; Chronic inflammatory lesions; Chronic lymphocytic leukemia ); Chronic obstructive pulmonary disease (COPD); Chronic salicylate poisoning; Colorectal cancer; Congestive heart failure; Conjunctivitis; Contact dermatitis; Pulmonary heart disease; Coronary artery disease; Cuzard's disease; Culture-negative sepsis; Cystic fibrosis; Cell hormone therapy-related conditions; Boxer dementia; Demyelination; Hemorrhagic dengue; Dermatitis; Skin conditions; Diabetes; Diabetic arteriosclerosis; Generalized Lewy body disease; Dilated congestive Cardiomyopathy; Basal ganglia disorders; Middle-aged Down's syndrome; Drug-induced by drugs blocking CNS dopamine receptors Dyskinesias; drug allergies; eczema; encephalomyelitis; endocarditis; endocrine diseases; epiglottis; Epstein-Barr virus infection; erythematous limb pain; extrapyramidal and cerebellar disorders; familial hemophagolymphoid tissue Hyperplasia; fetal thymic implant rejection; Friedreich's ataxia; functional peripheral arterial disease; fungal sepsis; gas gangrene; gastric ulcer; glomerulonephritis; transplant rejection of any organ or tissue Gram-negative sepsis; Gram-positive sepsis; granulomas caused by intracellular organisms; hairy cell leukemia; Harley-Davidson disease; Hashimoto's thyroiditis; hay fever; heart transplant rejection; hemochromatosis Hemodialysis hemolytic uremic syndrome / thrombotic thrombocytopenic purpura hemorrhage hepatitis A Heath bundle arrhythmia HIV infection / HIV neuropathy Hodgkin's disease hyperactivity dyskinesia allergic Reaction; allergic pneumonia; hypertension; hypokinesia; hypothalamic-pituitary-adrenal axis assessment; idiopathic Addison's disease; idiopathic lung Vitification (IPF); Antibody-mediated cytotoxicity; Weakness; Infant spinal muscular atrophy; Aortic inflammation; Influenza A; Exposure to ionizing radiation; Iris ciliaryitis / Uveitis / Optic neuritis; Ischemia -Reperfusion injury; ischemic stroke; juvenile rheumatoid arthritis; juvenile spinal muscular atrophy; Kaposi's sarcoma; Renal transplant rejection; Legionnaires' disease; Leishmaniasis; Leprosy; Cortical spinal cord system lesions; Fat edema; Liver transplant rejection; Lymphedema; Malaria; Malignant lymphoma; Malignant melanoma; Meningitis; Meningococcalemia; Metabolic syndrome; Migraine; Idiopathic migraine; Mitochondrial multisystem disorder; Mixed connective tissue disease; Single strain of gamma globulin disease; Multiple myeloma Multiple system degeneration (Manche, Dejein-Thomas, Shay-Drag, and Machado-Joseph); Myasthenia gravis; intracellular avian mycobacterium disease; Mycobacterium tuberculosis; bone marrow development Adverse syndromes; Myocardial infarction; Myocardial ischemic disorders; Nasopharyngeal carcinoma; Chronic neonatal lung disease; Nephritis; Nephropathy; Neurodegenerative diseases; Neurological type I muscle atrophy; Neutropenic fever; Non-Hodgkin's Lymphoma; occlusion of abdominal aorta and its branches; occlusive arterial disease; OKT3® therapy; bursitis / adjunctivitis; bursitis / vasanectomy; organ enlargement; osteoporosis Pancreatic transplant rejection; pancreatic cancer; tumor-associated signs / malignant hypercalcemia; parathyroid transplant rejection; pelvic inflammatory disease; perennial rhinitis; pericardial disease; peripheral atherosclerotic disease; peripheral vascular disease Peritonitis; malignant anemia; pneumocystis carinii pneumonia; pneumonia; POEMS syndrome (polyneuropathy, organ enlargement, endocrine disease, single gamma globulin disease and skin change syndrome); post-perfusion syndrome; post-pump syndrome; MI Symptoms after cardiac incision; preeclampsia; progressive supranuclear palsy; primary pulmonary hypertension; radiation therapy; Raynaud's phenomenon; Raynaud's disease; Ray Fussen's disease; regular narrow QRS tachycardia; high renal vascularity Blood pressure; Reperfusion injury; Restrictive cardiomyopathy; Sarcoma; Senile chorea; Lewy body Alzheimer's disease; Seronegative arthropathy; Shock; Sickle cell anemia; Skin allograft rejection; Skin change syndrome; Small bowel transplant rejection Response; solid tumor; special arrhythmia; spinal ataxia; spinal cerebellar degeneration; strep Myositis; cerebellar structural lesions; subacute sclerosing panencephalitis; syncope; cardiovascular system syphilis; systemic allergies; systemic inflammatory response syndrome; systemic onset juvenile rheumatoid arthritis; capillary dilatation; thromboocclusive Vasculitis; Thrombocytopenia; Toxicity; Transplantation; Trauma / bleeding; Type III allergic reaction; Type IV allergy; unstable colic; uremia; urinary septicemia; urticaria; heart valve disease; varicose veins; vasculitis; venous disease; venous thrombosis; ventricular fibrillation; virus and Fungal infections; viral encephalitis / aseptic meningitis; virus-associated hemophagocytic syndrome; Wernick-Korsakov syndrome; Wilson's disease; xenograft rejection of any organ or tissue; acute coronary syndrome; acute Idiopathic polyneuritis; acute inflammatory demyelinating polyradiculoneuropathy; acute ischemia; adult Still's disease; patchy alopecia; systemic allergic reaction; antiphospholipid antibody syndrome; aplastic anemia; arteries Sclerosis; atopic eczema; atopic dermatitis; autoimmune dermatitis; autoimmune disorders associated with streptococcal infection; autoimmune bowel disease; autoimmune hearing loss; autoimmune lymphoproliferative syndrome (ALPS) Autoimmune myocarditis; autoimmune premature ovarian failure; eyelid; bronchiectasis; bullous pemphigoid; cardiovascular disease; disaster Celiac disease; cervical spine joint adhesion; chronic ischemia; cicatricial pemphigoid; clinically isolated syndrome (CIS) with risk of multiple sclerosis; conjunctivitis; childhood-onset psychosis; lacrimal sac Dermatomyositis; diabetic retinopathy; disc herniation; disc herniation; drug-induced immune hemolytic anemia; endocarditis; endometriosis; endometritis; episcleritis; erythema polymorpha; Severe erythematous erythema; Pemphigoid gestation during pregnancy; Grignard-Barr's syndrome (GBS); Pollen fever; Hughes syndrome; Idiopathic Parkinson's disease; Idiopathic interstitial pneumonia; IgE-mediated allergies Disease; immune hemolytic anemia; inclusion body myositis; infectious ocular inflammatory disease; inflammatory demyelinating disease; inflammatory heart disease; inflammatory kidney disease; iritis; keratitis; dry keratoconjunctivitis; Or Kui-Mei's disease; Landry's palsy; Lange's cell histiocytosis; reticular leukoplakia; macular degeneration; microscopic polyangiitis; Behticelev's disease; motor neuron disorders; mucosa Pemphigoid; multiple organs Failure; myasthenia gravis; myelodysplastic syndrome; myocarditis; nerve root disorders; neuropathy; non-type A and non-B hepatitis; optic neuritis; osteolysis; oligoarticular JRA; peripheral arterial occlusive disease (PAOD); peripheral vascular disease (PVD); peripheral arterial disease (PAD); phlebitis; multiple nodular arteries Inflammation (or nodular periarteritis); polychondritis; rheumatic polymyalgia; gray hair; polyarticular JRA; polyendocrine syndrome; polymyositis; rheumatic polymyalgia (PMR); after pumping Syndromes; Primary Parkinson's disease; Secondary Parkinson's disease; Prostatitis; Pure red blood cell aplasia; Primary adrenal insufficiency; Recurrent optic neuromyelitis; Restenosis; Rheumatic heart disease; SAPHO (slip Meningitis, acne, pustular disease, osteoporosis and osteitis); secondary amyloidosis; shock lung; scleritis; sciatica; secondary adrenal insufficiency; polysiloxane related connective tissue disease; Weier's dermatosis; ankylosing spondylitis; Stephen-Johnson syndrome (SJS); systemic inflammatory response syndrome; temporal arteritis; toxoplasma retinitis; toxic epidermal necrolysis; transverse myelitis; TRAP (type 1 Tumor necrosis factor receptor (TNFR) -associated periodic syndrome); type B insulin resistance with acanthosis nigricans; type 1 allergic reaction; type 2 diabetes; urticaria; common interstitial pneumonia (UIP); Spring conjunctiva ; Retinitis; Vogt - Koyanagi - Harada syndrome (VKH syndrome); wet macular degeneration; wound healing; Jer coli and salmonella-related joint disease.

本發明之結合蛋白可用於治療罹患自體免疫疾病、尤其與炎症、類風濕性關節炎(RA)、骨關節炎、牛皮癬、多發性硬化症(MS)及其他自體免疫疾病相關之彼等疾病的人類。 The binding protein of the present invention can be used to treat patients suffering from autoimmune diseases, especially those related to inflammation, rheumatoid arthritis (RA), osteoarthritis, psoriasis, multiple sclerosis (MS) and other autoimmune diseases. Disease of humans.

本發明之抗體或抗體部分亦可與一或多種適用於治療自體免疫及發炎疾病之其他治療劑一起投與。 The antibody or antibody portion of the present invention may also be administered with one or more other therapeutic agents suitable for treating autoimmune and inflammatory diseases.

在一實施例中,可用本發明之組合物及方法治療或診斷之疾病包括(但不限於)原發性及轉移性癌症,包括乳癌、結腸癌、直腸癌、肺癌、口咽癌、下嚥部癌、食管癌、胃癌、胰臟癌、肝癌、膽囊癌及膽管癌、小腸癌、泌尿道癌(包括腎臟癌、膀胱癌及尿道上皮癌)、女性生殖道癌(包括子宮頸癌、子宮癌及卵巢癌以及絨膜癌及妊娠期滋養層疾病)、男性生殖道癌(包括前列腺癌、精囊癌、睪丸癌及生殖細胞腫瘤)、內分泌腺癌(包括甲狀腺癌、腎上腺癌及垂體腺癌)及皮膚癌; 以及血管瘤、黑色素瘤、肉瘤(包括自骨骼及軟組織中出現之肉瘤以及卡波西氏肉瘤)、腦腫瘤、神經腫瘤、眼睛腫瘤及腦膜腫瘤(包括星形細胞瘤、神經膠質瘤、神經膠母細胞瘤、視網膜母細胞瘤、神經瘤、神經母細胞瘤、神經鞘瘤及腦膜瘤)、由造血性惡性疾病(諸如白血病)引起之實體腫瘤,及淋巴瘤(霍奇金氏淋巴瘤及非霍奇金氏淋巴瘤)。 In one embodiment, diseases that can be treated or diagnosed with the compositions and methods of the present invention include, but are not limited to, primary and metastatic cancers, including breast cancer, colon cancer, rectal cancer, lung cancer, oropharyngeal cancer, hypopharynx Cancers of the department, esophagus, stomach, pancreas, liver, gallbladder and bile duct, small intestine, urinary tract (including kidney, bladder and urinary epithelial cancer), female reproductive tract cancer (including cervical cancer, uterus Cancer and ovarian cancer, choriocarcinoma and trophoblastic disease during pregnancy), male reproductive tract cancer (including prostate cancer, seminal vesicle cancer, testicular cancer and germ cell tumor), endocrine adenocarcinoma (including thyroid cancer, adrenal cancer and pituitary adenocarcinoma ) And skin cancer; And hemangiomas, melanomas, sarcomas (including sarcomas from bones and soft tissues and Kaposi's sarcoma), brain tumors, neurotumors, eye tumors, and meningeal tumors (including astrocytomas, gliomas, neuroglia Blastoma, retinoblastoma, neuroma, neuroblastoma, schwannomas, and meningiomas), solid tumors caused by hematopoietic malignancies such as leukemia, and lymphomas (Hodgkin's lymphoma and Non-Hodgkin's lymphoma).

在另一實施例中,使用本發明之抗體或其抗原結合部分來治療癌症或用於預防自腫瘤之癌轉移。該治療可包括單獨或與另一治療劑或治療(諸如放射線療法及/或化學治療劑)組合投與抗體或其抗原結合部分。 In another embodiment, an antibody of the invention or an antigen-binding portion thereof is used to treat cancer or to prevent cancer metastasis from a tumor. The treatment may include administering the antibody or antigen-binding portion thereof, alone or in combination with another therapeutic agent or treatment, such as radiation therapy and / or chemotherapeutic agent.

本發明之抗體或其抗原結合部分可與以下藥劑組合,其包括(但不限於):抗贅生劑、放射線療法、化學療法,諸如DNA烷化劑、順鉑(cisplatin)、卡鉑(carboplatin)、抗微管蛋白劑、太平洋紫杉醇(paclitaxel)、多烯紫杉醇(docetaxel)、紫杉醇、小紅莓、吉西他濱(gemcitabine)、健擇(gemzar)、蒽環黴素、阿德力黴素(adriamycin)、拓撲異構酶I抑制劑、拓撲異構酶II抑制劑、5-氟尿嘧啶(5-FU)、甲醯四氫葉酸(leucovorin)、伊立替康(irinotecan)、受體酪胺酸激酶抑制劑(例如埃羅替尼(erlotinib)、吉非替尼(gefitinib))、COX-2抑制劑(例如塞來昔布(celecoxib))、激酶抑制劑及siRNA。 The antibodies or antigen-binding portions thereof of the present invention may be combined with the following agents, including (but not limited to): anti-neoplastic agents, radiation therapy, chemotherapy, such as DNA alkylating agents, cisplatin, carboplatin ), Anti-tubulin agents, paclitaxel, docetaxel, paclitaxel, cranberries, gemcitabine, gemzar, anthracycline, adriamycin ), Topoisomerase I inhibitor, topoisomerase II inhibitor, 5-fluorouracil (5-FU), formazan tetrahydrofolate (leucovorin), irinotecan, receptor tyrosine kinase inhibition Agents (such as erlotinib, gefitinib), COX-2 inhibitors (such as celecoxib), kinase inhibitors, and siRNA.

本發明之結合蛋白亦可與一或多種適用於治療各種疾病之其他治療劑一起投與。 The binding protein of the present invention can also be administered with one or more other therapeutic agents suitable for treating various diseases.

本發明之抗體或其抗原結合部分可單獨或組合使用以治療該等疾病。應瞭解,本發明之抗體或其抗原結合部分可單獨或與其他藥劑(例如治療劑)組合使用,該其他藥劑由熟習此項技術者出於其預定目的而選擇。舉例而言,其他藥劑可為技術上公認為適用於治療可由本發明抗體治療之疾病或病狀的治療劑。其他藥劑亦可為將有利屬性賦 予治療組合物之藥劑,例如影響組合物黏度之藥劑。 The antibodies or antigen-binding portions thereof of the present invention can be used alone or in combination to treat these diseases. It should be understood that the antibodies or antigen-binding portions thereof of the present invention may be used alone or in combination with other agents (such as therapeutic agents), which are selected by those skilled in the art for their intended purpose. For example, other agents may be therapeutic agents that are technically recognized as suitable for treating a disease or condition that can be treated by the antibodies of the invention. Other potions can also grant favorable attributes An agent for administering a therapeutic composition, such as an agent that affects the viscosity of the composition.

應進一步瞭解,欲包括於本發明中之組合為適用於其預定目的之彼等組合。以下陳述之藥劑係出於說明之目的,而非意欲限制。作為本發明之一部分之組合可為本發明之抗體與至少一種選自以下清單之其他藥劑。組合亦可包括一種以上其他藥劑,例如兩種或三種其他藥劑,只要該組合使得所形成之組合物可執行其預定功能即可。 It should be further understood that the combinations intended to be included in the present invention are their combinations suitable for their intended purpose. The medicaments stated below are for illustrative purposes and are not intended to be limiting. The combination as part of the invention may be an antibody of the invention and at least one other agent selected from the list below. The combination may also include more than one other agent, such as two or three other agents, as long as the combination enables the formed composition to perform its intended function.

較佳組合為非類固醇消炎藥(亦稱為NSAID),其包括如布洛芬之藥物。其他較佳組合為皮質類固醇,包括潑尼松龍;可藉由逐漸減少在與本發明之抗IL-1β抗體組合治療患者時所需之類固醇劑量來降低或甚至消除使用類固醇所熟知之副作用。可與本發明之抗體或抗體部分組合用於類風濕性關節炎之治療劑的非限制性實例包括(但不限於)以下:細胞激素抑制性消炎藥(CSAID);其他人類細胞激素或生長因子之抗體或拮抗劑,該等人類細胞激素或生長因子為例如TNF、LT、IL-1、IL-2、IL-3、IL-4、IL-5、IL-6、IL-7、IL-8、IL-15、IL-16、IL-18、IL-21、干擾素、EMAP-II、GM-CSF、FGF及PDGF。本發明之抗體或其抗原結合部分可與針對細胞表面分子之抗體組合,該等分子為諸如CD2、CD3、CD4、CD8、CD25、CD28、CD30、CD40、CD45、CD69、CD80(B7.1)、CD86(B7.2)、CD90、CTLA,或其配位體,包括CD154(gp39或CD40L)。 Preferred combinations are non-steroidal anti-inflammatory drugs (also known as NSAIDs), which include drugs such as ibuprofen. Other preferred combinations are corticosteroids, including prednisolone; the side effects that are well known for the use of steroids can be reduced or even eliminated by gradually reducing the steroid dose required when treating patients in combination with the anti-IL-1β antibodies of the invention. Non-limiting examples of therapeutic agents that can be used in combination with the antibodies or antibody portions of the invention for rheumatoid arthritis include, but are not limited to, the following: cytokine inhibitory anti-inflammatory drugs (CSAID); other human cytokines or growth factors Antibodies or antagonists, such human cytokines or growth factors are, for example, TNF, LT, IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL- 8. IL-15, IL-16, IL-18, IL-21, interferon, EMAP-II, GM-CSF, FGF and PDGF. The antibodies or antigen-binding portions thereof of the present invention can be combined with antibodies directed against cell surface molecules such as CD2, CD3, CD4, CD8, CD25, CD28, CD30, CD40, CD45, CD69, CD80 (B7.1) , CD86 (B7.2), CD90, CTLA, or their ligands, including CD154 (gp39 or CD40L).

治療劑之較佳組合可在自體免疫及後續發炎級聯中之不同點處進行干擾;較佳實例包括TNF拮抗劑,如嵌合、人類化或人類TNF抗體,D2E7(PCT公開案第WO 97/29131號)、CA2(RemicadeTM)、CDP 571及可溶性p55或p75 TNF受體、其衍生物p75TNFR1gG(EnbrelTM)或p55TNFR1gG(來那西普),以及TNFα轉化酶(TACE)抑制劑;類似地,其他IL-1抑制劑(介白素-1轉化酶抑制劑IL-1RA等)出於相同原因可能有效。其他較佳組合包括介白素11。另一較佳組合為自體免疫反應之 其他關鍵參與者,其可與IL-1β功能平行起作用、視IL-1β功能而起作用或與IL-1β功能協同起作用。另一較佳組合為非消耗性抗CD4抑制劑。其他較佳組合包括協同刺激路徑CD80(B7.1)或CD86(B7.2)之拮抗劑,包括抗體、可溶性受體或拮抗性配位體。 A preferred combination of therapeutic agents can interfere at different points in the autoimmune and subsequent inflammatory cascades; preferred examples include TNF antagonists such as chimeric, humanized or human TNF antibodies, D2E7 (PCT Publication No. WO 97/29131), CA2 (Remicade TM ), CDP 571 and soluble p55 or p75 TNF receptors, derivatives thereof p75TNFR1gG (Enbrel TM ) or p55TNFR1gG (lenacept), and TNFα converting enzyme (TACE) inhibitors; Similarly, other IL-1 inhibitors (interleukin-1 converting enzyme inhibitor IL-1RA, etc.) may be effective for the same reason. Other preferred combinations include interleukin-11. Another preferred combination is other key participants of the autoimmune response, which can function in parallel with, or function in conjunction with, IL-1β function. Another preferred combination is a non-consumable anti-CD4 inhibitor. Other preferred combinations include antagonists of the co-stimulatory pathway CD80 (B7.1) or CD86 (B7.2), including antibodies, soluble receptors or antagonist ligands.

本發明之抗體或其抗原結合部分亦可與以下藥劑組合,諸如甲胺喋呤、6-MP、硫唑嘌呤、柳氮磺胺吡啶、美沙拉嗪、奧沙拉嗪、氯喹(chloroquinine)/羥氯喹(hydroxychloroquine)、青黴胺(pencillamine)、金硫蘋果酸鹽(aurothiomalate)(肌肉內及經口)、硫唑嘌呤、秋水仙鹼、皮質類固醇(經口、吸入及局部注射)、β-2腎上腺素受體促效劑(沙丁胺醇(salbutamol)、特布他林(terbutaline)、沙美特羅(salmeteral))、黃嘌呤(茶鹼(theophylline)、胺茶鹼(aminophylline))、色甘酸鹽(cromoglycate)、奈多羅米(nedocromil)、酮替酚(ketotifen)、異丙托銨(ipratropium)及氧托銨(oxitropium)、環孢素、FK506、雷帕黴素、黴酚酸嗎啉乙酯、來氟米特、NSAID(例如布洛芬)、皮質類固醇(諸如潑尼松龍)、磷酸二酯酶抑制劑、腺苷促效劑、抗血栓劑、補體抑制劑、腎上腺素激導劑、干擾諸如TNF-α或IL-1之促發炎性細胞激素進行信號傳導之藥劑(例如IRAK、NIK、IKK、p38或MAP激酶抑制劑)、IL-1β轉化酶抑制劑、TNFα轉化酶(TACE)抑制劑、T細胞信號傳導抑制劑(諸如激酶抑制劑)、金屬蛋白酶抑制劑、柳氮磺胺吡啶、硫唑嘌呤、6-巰基嘌呤、血管收縮素轉化酶抑制劑、可溶性細胞激素受體及其衍生物(例如可溶性p55或p75 TNF受體及衍生物p75TNFRIgG(EnbrelTM)及p55TNFRIgG(來那西普)、sIL-1RI、sIL-1RII、sIL-6R)、消炎細胞激素(例如IL-4、IL-10、IL-11、IL-13及TGFβ)、塞來昔布、葉酸、硫酸羥氯喹、羅非昔布(rofecoxib)、依那西普、英利昔單抗、萘普生(naproxen)、伐地昔布(valdecoxib)、柳氮磺胺吡啶、甲潑尼龍、美洛昔康(meloxicam)、乙酸甲潑尼龍、硫代 蘋果酸金鈉、阿司匹靈(aspirin)、曲安奈德(triamcinolone acetonide)、萘磺酸丙氧芬(propoxyphene napsylate)/apap、葉酸鹽、萘丁美酮(nabumetone)、雙氯芬酸(diclofenac)、吡羅昔康(piroxicam)、依託度酸(etodolac)、雙氯芬酸鈉(diclofenac sodium)、奧沙普嗪(oxaprozin)、鹽酸羥考酮(oxycodone hcl)、重酒石酸二氫可待因酮(hydrocodone bitartrate)/apap、雙氯芬酸鈉/米索前列醇(misoprostol)、芬太尼(fentanyl)、人類重組阿那白滯素(anakinra)、鹽酸曲馬多(tramadol hcl)、雙水楊酯(salsalate)、舒林酸(sulindac)、氰鈷胺素(cyanocobalamin)/fa/吡哆醇(pyridoxine)、乙醯胺苯酚(acetaminophen)、阿侖膦酸鈉(alendronate sodium)、潑尼松龍、硫酸嗎啡(morphine sulfate)、鹽酸利多卡因(lidocaine hydrochloride)、吲哚美辛(indomethacin)、硫酸葡糖胺(glucosamine sulf)/軟骨素(chondroitin)、鹽酸阿米替林(amitriptyline hcl)、磺胺嘧啶(sulfadiazine)、鹽酸羥考酮/乙醯胺苯酚、鹽酸奧洛他定(olopatadine hcl)、米索前列醇、萘普生鈉(naproxen sodium)、奧美拉唑(omeprazole)、環磷醯胺(cyclophosphamide)、利妥昔單抗、IL-1 TRAP、MRA、CTLA4-IG、IL-18 BP、抗IL-18、抗IL15、BIRB-796、SCIO-469、VX-702、AMG-548、VX-740、羅氟司特(Roflumilast)、IC-485、CDC-801及美索普蘭(Mesopram)。較佳組合包括甲胺喋呤或來氟米特且在中度或重度類風濕性關節炎之情況下包括環孢素。 The antibodies or antigen-binding portions thereof of the present invention can also be combined with the following agents, such as methotrexate, 6-MP, azathioprine, sulfasalazine, mesalazine, oxasalazine, chloroquinine / hydroxychloroquine (hydroxychloroquine), pencillamine, aurothiomalate (intramuscularly and orally), azathioprine, colchicine, corticosteroids (oral, inhaled and topical injection), β-2 adrenal Receptor agonists (salbutamol, terbutaline, salmeteral), xanthine (theophylline, aminophylline), cromoglycate ( cromoglycate, nedocromil, ketotifen, ipratropium and oxitropium, cyclosporine, FK506, rapamycin, mycophenolate morpholinate , Leflunomide, NSAID (e.g. ibuprofen), corticosteroids (e.g. prednisolone), phosphodiesterase inhibitors, adenosine agonists, antithrombotic agents, complement inhibitors, adrenaline stimulants Interfering with signaling of pro-inflammatory cytokines such as TNF-α or IL-1 Agents (e.g. IRAK, NIK, IKK, p38 or MAP kinase inhibitors), IL-1β converting enzyme inhibitors, TNFα converting enzyme (TACE) inhibitors, T cell signaling inhibitors (such as kinase inhibitors), metalloproteinase inhibition Agents, sulfasalazine, azathioprine, 6-mercaptopurine, angiotensin-converting enzyme inhibitors, soluble cytokine receptors and their derivatives (such as soluble p55 or p75 TNF receptors and derivatives p75TNFRIgG (Enbrel TM ) And p55TNFRIgG (Lanaxip), sIL-1RI, sIL-1RII, sIL-6R), anti-inflammatory cytokines (e.g. IL-4, IL-10, IL-11, IL-13 and TGFβ), celecoxib , Folic acid, hydroxychloroquine sulfate, rofecoxib, etanercept, infliximab, naproxen, valdecoxib, sulfasalazine, methylprednisolone, beauty Meloxicam, methylprednisolone acetate, gold sodium thiomalate, aspirin, triamcinolone acetonide, propoxyphene napsylate / apap, folic acid Salt, nabumetone, diclofenac, piroxicam, etodox Acid (etodolac), diclofenac sodium, oxaprozin, oxycodone hcl, hydrocodone bitartrate / apap, diclofenac sodium / misoprost Alcohol (misoprostol), fentanyl, human recombinant anakinra, tramadol hcl, salsalate, sulindac, cyanocobalamin (cyanocobalamin) / fa / pyridoxine, acetaminophen, alendronate sodium, prednisolone, morphine sulfate, lidocaine hydrochloride ), Indomethacin (glucosamine sulf / chondroitin), amitriptyline hydrochloride (amitriptyline hcl), sulfadiazine, oxycodone hydrochloride / acetaminophen Olopatadine hcl, misoprostol, naproxen sodium, omeprazole, cyclophosphamide, rituximab, IL-1 TRAP, MRA, CTLA4-IG, IL-18 BP, anti-IL-18, anti-IL15 BIRB-796, SCIO-469, VX-702, AMG-548, VX-740, roflumilast (Roflumilast), IC-485, CDC-801 and US Suopu Lan (Mesopram). Preferred combinations include methotrexate or leflunomide and, in the case of moderate or severe rheumatoid arthritis, cyclosporine.

亦可與結合蛋白組合使用以治療類風濕性關節炎(RA)之非限制性其他藥劑包括(但不限於)以下:非類固醇消炎藥(NSAID);細胞激素抑制消炎藥(CSAID);CDP-571/BAY-10-3356(人類化抗TNFα抗體;Celltech/Bayer);cA2/英利昔單抗(嵌合抗TNFα抗體;Centocor);75 kdTNFR-IgG/依那西普(75 kD TNF受體-IgG融合蛋白;Immunex;參 見例如Moreland等人(文摘號813),Arthritis Rheum.,37:S295(1994);Baumgartner等人,J.Invest.Med.,44(3):235A(1996年3月));55 kdTNF-IgG(55 kD TNF受體-IgG融合蛋白;Hoffmann-LaRoche);IDEC-CE9.1/SB 210396(非消耗性靈長類化抗CD4抗體;IDEC/SmithKline;參見例如Kaine等人(文摘號195),Arthritis Rheum.,38:S185(1995));DAB 486-IL-2及/或DAB 389-IL-2(IL-2融合蛋白;Seragen;參見例如Sewell等人,Arthritis Rheum.,36(9):1223-1233(1993年9月));抗Tac(人類化抗IL-2Rα;Protein Design Labs/Roche);IL-4(消炎細胞激素;DNAX/Schering);IL-10(SCH 52000;重組IL-10,消炎細胞激素;DNAX/Schering);IL-4;IL-10及/或IL-4促效劑(例如促效抗體);IL-1RA(IL-1受體拮抗劑;Synergen/Amgen);阿那白滯素(Kineret®/Amgen);TNF-bp/s-TNF(可溶性TNF結合蛋白;參見例如Evans等人(文摘號1540),Arthritis Rheum.,39(9)(增刊):S284(1996);Kapadia等人,Amer.J.Physiol.-Heart and Circulatory Physiology,268:H517-H525(1995));RP73401(IV型磷酸二酯酶抑制劑;參見例如Chikanza等人(文摘號1527),Arthritis Rheum.,39(9)(增刊):S282(1996));MK-966(COX-2抑制劑;參見例如Erich等人(文摘號328及329),Arthritis Rheum.,39(9)(增刊):S81(1996));伊洛前列素(Iloprost)(參見例如Scholz,P.(文摘號336),Arthritis Rheum.,39(9)(增刊):S82(1996));甲胺喋呤;沙力度胺(thalidomide)(參見例如Lee等人(文摘號1524),Arthritis Rheum.,39(9)(增刊):S282(1996))及沙力度胺相關藥物(例如Celgen);來氟米特(消炎及細胞激素抑制劑;參見例如Finnegan等人(文摘號627),Arthritis Rheum.,39(9)(增刊):S131(1996);Thoss等人,Inflamm.Res.,45:103-107(1996));胺甲環酸(tranexamic acid)(纖溶酶原活化抑制劑;參見例如Ronday等人(文摘號1541),Arthritis Rheum.,39(9)(增刊):S284(1996));T-614(細胞激素抑 制劑;參見例如Hara等人(文摘號1526),Arthritis Rheum.,39(9)(增刊):S282(1996));前列腺素E1(參見例如Moriuchi等人(文摘號1528),Arthritis Rheum.,39(9)(增刊):S282(1996));替尼達普(Tenidap)(非類固醇消炎藥;參見例如Guttadauria,M.(文摘號1516),Arthritis Rheum.,39(9)(增刊):S280(1996));萘普生(非類固醇消炎藥;參見例如Fiebich等人,Neuro Report,7:1209-1213(1996));美洛昔康(非類固醇消炎藥);布洛芬(非類固醇消炎藥);吡羅昔康(非類固醇消炎藥);雙氯芬酸(非類固醇消炎藥);吲哚美辛(非類固醇消炎藥);柳氮磺胺吡啶(參見例如Farr等人(文摘號1519),Arthritis Rheum.,39(9)(增刊):S281(1996));硫唑嘌呤(參見例如Hickey等人(文摘號1521),Arthritis Rheum.,39(9)(增刊):S281(1996));ICE抑制劑(酶介白素-1β轉化酶之抑制劑);zap-70及/或lck抑制劑(酪胺酸激酶zap-70或lck之抑制劑);VEGF抑制劑及/或VEGF-R抑制劑(血管內皮細胞生長因子或血管內皮細胞生長因子受體之抑制劑;血管生成抑制劑);皮質類固醇消炎藥(例如SB203580);TNF-轉化酶抑制劑;抗IL-12抗體;抗IL-18抗體;介白素-11(參見例如Keith Jr.等人(文摘號1613),Arthritis Rheum.,39(9)(增刊):S296(1996));介白素-13(參見例如Bessis等人(文摘號1681),Arthritis Rheum.,39(9)(增刊):S308(1996));介白素-17抑制劑(參見例如Lotz等人(文摘號559),Arthritis Rheum.,39(9)(增刊):S120(1996));金;青黴胺(penicillamine);氯喹;苯丁酸氮芥(chlorambucil);羥氯喹;環孢素;環磷醯胺;全部淋巴照射;抗胸腺細胞球蛋白;抗CD4抗體;CD5-毒素;經口投與之肽及膠原蛋白;氯苯紮利二鈉(lobenzarit disodium);細胞激素調節劑(CRA)HP228及HP466(Houghten Pharmaceuticals,Inc);ICAM-1反義硫代磷酸酯寡去氧核苷酸(ISIS 2302;Isis Pharmaceuticals,Inc);可溶性補體受體1(TP10;T Cell Sciences,Inc);潑尼松(prednisone);奧古蛋白 (orgotein);葡糖胺聚糖多硫酸酯;米諾環素(minocycline);抗IL2R抗體;海洋及植物脂質(魚及植物種子脂肪酸;參見例如DeLuca等人,Rheum.Dis.Clin.North Am.,21:759-777(1995));金諾芬(auranofin);保泰松(phenylbutazone);甲氯芬那酸(meclofenamic acid);氟芬那酸(flufenamic acid);靜脈內免疫球蛋白;齊留通(zileuton);阿紮立平(azaribine);黴酚酸(RS-61443);他克莫司(tacrolimus)(FK-506);西羅莫司(雷帕黴素);胺普立糖(amiprilose)(賽若芬汀(therafectin));克拉屈濱(cladribine)(2-氯去氧腺苷);甲胺喋呤;bcl-2抑制劑(參見Bruncko等人,J.Med.Chem.,50(4),641-662(2007));抗病毒及免疫調節劑。 Non-limiting other agents that can also be used in combination with binding proteins to treat rheumatoid arthritis (RA) include (but are not limited to) the following: non-steroidal anti-inflammatory drugs (NSAID); cytokine inhibitory anti-inflammatory drugs (CSAID); CDP- 571 / BAY-10-3356 (humanized anti-TNFα antibody; Celltech / Bayer); cA2 / infliximab (chimeric anti-TNFα antibody; Centocor); 75 kdTNFR-IgG / etanercept (75 kD TNF receptor -IgG fusion protein; Immunex; see, eg, Moreland et al. (Abstract No. 813), Arthritis Rheum., 37: S295 (1994); Baumgartner et al. , J. Invest. Med. , 44 (3): 235A (3 1996 Month)); 55 kdTNF-IgG (55 kD TNF receptor-IgG fusion protein; Hoffmann-LaRoche); IDEC-CE9.1 / SB 210396 (non-consumable primate anti-CD4 antibody; IDEC / SmithKline; see, for example, Kaine Et al. (Abstract No. 195), Arthritis Rheum., 38: S185 (1995)); DAB 486-IL-2 and / or DAB 389-IL-2 (IL-2 fusion protein; Seragen; see, for example, Sewell et al., Arthritis Rheum., 36 (9): 1223-1233 (September 1993)); anti-Tac (humanized anti-IL-2Rα; Protein Design Labs / Roche); IL-4 (anti-inflammatory cytokine; DNAX / Schering); IL-10 (SCH 520 00; recombinant IL-10, anti-inflammatory cytokines; DNAX / Schering); IL-4; IL-10 and / or IL-4 agonists (such as potent antibodies); IL-1RA (IL-1 receptor antagonist Synergen / Amgen); Anakin (Kineret ® / Amgen); TNF-bp / s-TNF (soluble TNF-binding protein; see, for example, Evans et al. (Abstract No. 1540), Arthritis Rheum., 39 (9) (Supplement): S284 (1996); Kapadia et al., Amer . J. Physiol.-Heart and Circulatory Physiology, 268: H517-H525 (1995)); RP73401 (type IV phosphodiesterase inhibitor; see, for example, Chikanza et al. Human (Abstract No. 1527), Arthritis Rheum., 39 (9) (Supplement): S282 (1996)); MK-966 (COX-2 inhibitor; see, for example, Erich et al. (Abstract Nos. 328 and 329), Arthritis Rheum ., 39 (9) (Suppl): S81 (1996)); iloprost (iloprost on) (see, e.g., Scholz, P (Abstract No. 336.), Arthritis Rheum, 39 (9) ( Suppl):. S82 ( (1996)); methotrexate; thalidomide (see, for example, Lee et al. (Abstract No. 1524), Arthritis Rheum., 39 (9) (Suppl.): S282 (1996)) and thalidomide-related drugs (E.g. Celgen); Leflunomide (anti-inflammatory and cytokine inhibitors; see e.g. Fi nnegan et al. (Abstract No. 627), Arthritis Rheum., 39 (9) (Supplement): S131 (1996); Thoss et al., Inflamm. Res., 45: 103-107 (1996)); Tranexamic acid ( tranexamic acid) (plasminogen activation inhibitor; see, for example, Ronday et al. (Abstract No. 1541), Arthritis Rheum., 39 (9) (Suppl.): S284 (1996)); T-614 (cytokine inhibitor; See, for example, Hara et al. (Abstract No. 1526), Arthritis Rheum., 39 (9) (Supplement): S282 (1996)); Prostaglandin E1 (see, for example, Moriuchi et al. (Abstract No. 1528), Arthritis Rheum., 39 ( 9) (Supplement): S282 (1996)); Tenidap (non-steroidal anti-inflammatory drugs; see, for example, Guttadauria, M. (Abstract No. 1516), Arthritis Rheum., 39 (9) (Supplement): S280 (1996)); naproxen (non-steroidal anti-inflammatory drugs; see, for example, Fiebich et al., Neuro Report, 7: 1209-1213 (1996)); meloxicam (non-steroidal anti-inflammatory drug); ibuprofen (non-steroidal Anti-inflammatory drugs); piroxicam (non-steroidal anti-inflammatory drugs); diclofenac (non-steroidal anti-inflammatory drugs); indomethacin (non-steroidal anti-inflammatory drugs); sulfasalazine (see for example Farr et al. (Abstract No. 1519), Arthritis Rheum., 39 (9) (Supplement): S281 (1996)); Azathioprine (see, for example, Hickey et al. (Abstract No. 1521), Arthritis Rheum., 39 (9) (Supplement): S281 (1996)); ICE inhibitors ( Inhibitor of the enzyme interleukin-1β converting enzyme); zap-70 and / or lck inhibitors (inhibitors of tyrosine kinase zap-70 or lck); VEGF inhibitors and / or VEGF-R inhibitors (vascular Inhibitors of endothelial cell growth factor or vascular endothelial growth factor receptor; angiogenesis inhibitors); corticosteroid anti-inflammatory drugs (such as SB203580); TNF-converting enzyme inhibitors; anti-IL-12 antibodies; anti-IL-18 antibodies; Interleukin-11 (see e.g. Keith Jr. et al. (Abstract No. 1613), Arthritis Rheum., 39 (9) (Supplement): S296 (1996)); interleukin-13 (see e.g. Bessis et al. (Abstracts No. 1681), Arthritis Rheum., 39 (9) (supplement): S308 (1996)); interleukin-17 inhibitors (see, for example, Lotz et al. (Abstract No. 559), Arthritis Rheum., 39 (9) ( Supplement): S120 (1996)); gold; penicillamine; chloroquine; chlorambucil; hydroxychloroquine; cyclosporine; cyclophosphamide; total lymphatic irradiation; antithymocyte globulin; Anti-CD4 antibody; CD5-toxic ; Oral administration of peptides and collagen; lobenzarit disodium; cytokine regulators (CRA) HP228 and HP466 (Houghten Pharmaceuticals, Inc); ICAM-1 antisense phosphorothioate oligodesulfurization Oxynucleotide (ISIS 2302; Isis Pharmaceuticals, Inc); soluble complement receptor 1 (TP10; T Cell Sciences, Inc); prednisone; orgotein; glucosaminoglycan polysulfate Esters; minocycline; anti-IL2R antibodies; marine and plant lipids (fish and plant seed fatty acids; see, for example, DeLuca et al., Rheum. Dis. Clin. North Am. , 21: 759-777 (1995)) Auranofin; phenylbutazone; meclofenamic acid; flufenamic acid; intravenous immunoglobulin; zileuton; azalea Azaribine; mycophenolic acid (RS-61443); tacrolimus (FK-506); sirolimus (rapamycin); amiprilose (Xerofintin) (therafectin)); cladribine (2-chlorodeoxyadenosine); methotrexate; bcl-2 inhibitors (see Bruncko et al., J. Med. Chem., 50 (4), 641 -662 (2007)); antivirals and immunomodulators.

在一實施例中,結合蛋白或其抗原結合部分與用於治療類風濕性關節炎(RA)之以下藥劑中之一者組合投與:KDR之小分子抑制劑、Tie-2之小分子抑制劑;甲胺喋呤;潑尼松;塞來昔布;葉酸;硫酸羥氯喹;羅非昔布;依那西普;英利昔單抗;來氟米特;萘普生;伐地昔布;柳氮磺胺吡啶;甲潑尼龍;布洛芬;美洛昔康;乙酸甲潑尼龍;硫代蘋果酸金鈉;阿司匹靈;硫唑嘌呤;曲安奈德;萘磺酸丙氧芬/apap;葉酸鹽;萘丁美酮;雙氯芬酸;吡羅昔康;依託度酸;雙氯芬酸鈉;奧沙普嗪;鹽酸羥考酮;重酒石酸二氫可待因酮/apap;雙氯芬酸鈉/米索前列醇;芬太尼;人類重組阿那白滯素;鹽酸曲馬多;雙水楊酯;舒林酸;氰鈷胺素/fa/吡哆醇;乙醯胺苯酚;阿侖膦酸鈉;潑尼松龍;硫酸嗎啡;鹽酸利多卡因;吲哚美辛;硫酸葡糖胺/軟骨素;環孢素;鹽酸阿米替林;磺胺嘧啶;鹽酸羥考酮/乙醯胺苯酚;鹽酸奧洛他定;米索前列醇;萘普生鈉;奧美拉唑;黴酚酸嗎啉乙酯;環磷醯胺;利妥昔單抗;IL-1 TRAP;MRA;CTLA4-IG;IL-18 BP;IL-12/23;抗IL 18;抗IL 15;BIRB-796;SCIO-469;VX-702;AMG-548;VX-740;羅氟司特;IC-485;CDC-801及美索普 蘭。 In one embodiment, a binding protein or an antigen-binding portion thereof is administered in combination with one of the following agents for treating rheumatoid arthritis (RA): a small molecule inhibitor of KDR, a small molecule inhibitor of Tie-2 Agents; methotrexate; prednisone; celecoxib; folic acid; hydroxychloroquine sulfate; rofecoxib; etanercept; infliximab; leflunomide; naproxen; vardecoxib Sulfasalazine; methylprednisolone; ibuprofen; meloxicam; methylprednisolone acetate; gold sodium thiomalate; aspirin; azathioprine; triamcinolone; propoxyphene naphthalenesulfonate / apap; folate; nabumetone; diclofenac; piroxicam; etodolac; diclofenac sodium; oxaprozine; oxycodone hydrochloride; dihydrocodeinone tartrate / apap; diclofenac / Misoprostol; fentanyl; human recombinant anakinin; tramadol hydrochloride; disalicylate; sulindac acid; cyanocobalamin / fa / pyridoxine; acetaminophen; alendronate Sodium; prednisolone; morphine sulfate; lidocaine hydrochloride; indomethacin; glucosamine sulfate / chondroitin; cyclosporine; Lin; Sulfadiazine; Oxycodone Hydrochloride / Acetaminophen Phenol; Olotadine Hydrochloride; Misoprostol; Naproxen Sodium; Omeprazole; Mycophenolate Morpholine Ethyl Ester; Cyclophosphamide; Toximab; IL-1 TRAP; MRA; CTLA4-IG; IL-18 BP; IL-12 / 23; anti-IL 18; anti-IL 15; BIRB-796; SCIO-469; VX-702; AMG-548 ; VX-740; Roflumilast; IC-485; CDC-801 and Methop Blue.

可與本發明之結合蛋白組合用於發炎性腸道疾病之治療劑的非限制性實例包括以下:布替耐德;表皮生長因子;皮質類固醇;環孢素;柳氮磺胺吡啶;胺基水楊酸鹽;6-巰基嘌呤;硫唑嘌呤;甲硝噠唑;脂肪加氧酶抑制劑;美沙拉嗪;奧沙拉嗪;巴柳氮;抗氧化劑;血栓素抑制劑;IL-1受體拮抗劑;抗IL-1β mAb;抗IL-6 mAb;生長因子;彈性酶抑制劑;吡啶基-咪唑化合物;其他人類細胞激素或生長因子之抗體或拮抗劑,該等因子為例如TNF、LT、IL-1、IL-2、IL-6、IL-7、IL-8、IL-15、IL-16、IL-17、IL-18、EMAP-II、GM-CSF、FGF及PDGF。本發明之抗體或其抗原結合部分可與細胞表面分子之抗體組合,諸如CD2、CD3、CD4、CD8、CD25、CD28、CD30、CD40、CD45、CD69、CD90或其配位體。本發明之抗體或其抗原結合部分亦可與藥劑組合,該等藥劑諸如甲胺喋呤、環孢素、FK506、雷帕黴素、黴酚酸嗎啉乙酯、來氟米特、NSAID(例如布洛芬)、皮質類固醇(諸如潑尼松龍)、磷酸二酯酶抑制劑、腺苷促效劑、抗血栓劑、補體抑制劑、腎上腺素激導劑、干擾促發炎性細胞激素(諸如TNFα或IL-1)信號傳導之藥劑(例如IRAK、NIK、IKK、p38或MAP激酶抑制劑)、IL-1β轉化酶抑制劑、TNFα轉化酶抑制劑、T細胞信號傳導抑制劑(諸如激酶抑制劑)、金屬蛋白酶抑制劑、柳氮磺胺吡啶、硫唑嘌呤、6-巰基嘌呤、血管收縮素轉化酶抑制劑、可溶性細胞激素受體及其衍生物(例如可溶性p55或p75 TNF受體、sIL-1RI、sIL-1RII、sIL-6R)及消炎細胞激素(例如IL-4、IL-10、IL-11、IL-13及TGFβ)及bcl-2抑制劑。 Non-limiting examples of therapeutic agents that can be used in combination with the binding proteins of the present invention for inflammatory bowel diseases include the following: Butinide; Epidermal Growth Factor; Corticosteroids; Cyclosporine; Salazine; Amine water Salicylate; 6-mercaptopurine; azathioprine; metronidazole; lipooxygenase inhibitor; mesalazine; oxasalazine; balsalazine; antioxidant; thromboxane inhibitor; IL-1 receptor Antagonists; anti-IL-1β mAb; anti-IL-6 mAb; growth factors; elastase inhibitors; pyridyl-imidazole compounds; antibodies or antagonists of other human cytokines or growth factors, such factors as TNF, LT , IL-1, IL-2, IL-6, IL-7, IL-8, IL-15, IL-16, IL-17, IL-18, EMAP-II, GM-CSF, FGF and PDGF. The antibody or antigen-binding portion thereof of the present invention can be combined with an antibody of a cell surface molecule, such as CD2, CD3, CD4, CD8, CD25, CD28, CD30, CD40, CD45, CD69, CD90, or a ligand thereof. The antibodies or antigen-binding portions thereof of the present invention can also be combined with pharmaceuticals such as methotrexate, cyclosporine, FK506, rapamycin, mycophenolate morpholinate, leflunomide, NSAID ( (E.g. ibuprofen), corticosteroids (such as prednisolone), phosphodiesterase inhibitors, adenosine agonists, antithrombotic agents, complement inhibitors, epinephrine activators, interference with pro-inflammatory cytokines ( Agents such as TNFα or IL-1) signaling (e.g. IRAK, NIK, IKK, p38 or MAP kinase inhibitors), IL-1β converting enzyme inhibitors, TNFα converting enzyme inhibitors, T cell signaling inhibitors such as kinases Inhibitors), metalloproteinase inhibitors, sulfasalazine, azathioprine, 6-mercaptopurine, angiotensin-converting enzyme inhibitors, soluble cytokine receptors and their derivatives (e.g., soluble p55 or p75 TNF receptors, sIL-1RI, sIL-1RII, sIL-6R) and anti-inflammatory cytokines (such as IL-4, IL-10, IL-11, IL-13 and TGFβ) and bcl-2 inhibitors.

可組合結合蛋白用於克羅恩氏病之治療劑的實例包括以下:TNF拮抗劑,例如抗TNF抗體阿達木單抗(PCT公開案第WO 97/29131號;HUMIRA®)、CA2(REMICADE)、CDP 571、TNFR-Ig構築體、 (p75TNFRIgG(ENBREL®)及p55TNFRIgG(LENERCEPTTM))抑制劑及PDE4抑制劑。本發明之抗體或其抗原結合部分可與皮質類固醇(例如布替耐德及地塞米松(dexamethasone))組合。本發明之結合蛋白或其抗原結合部分亦可與藥劑(諸如柳氮磺胺吡啶、5-胺基水楊酸及奧沙拉嗪)及干擾促發炎性細胞激素(諸如IL-1)之合成或作用之藥劑(例如IL-1轉化酶抑制劑及IL-1ra)組合。本發明之抗體或其抗原結合部分亦可與T細胞信號傳導抑制劑(例如酪胺酸激酶抑制劑6-巰基嘌呤)一起使用。本發明之結合蛋白或其抗原結合部分可與IL-11組合。本發明之結合蛋白或其抗原結合部分可與美沙拉嗪、潑尼松、硫唑嘌呤、巰基嘌呤、英利昔單抗、甲潑尼龍丁二酸鈉、苯乙哌啶(diphenoxylate)/硫酸阿托品(atrop sulfate)、鹽酸洛哌丁胺(loperamide hydrochloride)、甲胺喋呤、奧美拉唑、葉酸鹽、環丙沙星(ciprofloxacin)/右旋糖-水、重酒石酸二氫可待因酮/apap、鹽酸四環素(tetracycline hydrochloride)、氟欣諾能(fluocinonide)、甲硝噠唑、硫柳汞(thimerosal)/硼酸、消膽胺(cholestyramine)/蔗糖、鹽酸環丙沙星、硫酸莨菪鹼(hyoscyamine sulfate)、鹽酸哌替啶(meperidine hydrochloride)、鹽酸咪達唑侖(midazolam hydrochloride)、鹽酸羥考酮/乙醯胺苯酚、鹽酸普敏太定(promethazine hydrochloride)、磷酸鈉、磺胺甲異噁唑(sulfamethoxazole)/甲氧苄啶(trimethoprim)、塞來昔布、聚卡波非(polycarbophil)、萘磺酸丙氧芬、氫化可的松(hydrocortisone)、綜合維生素(multivitamin)、巴柳氮二鈉(balsalazide disodium)、磷酸可待因(codeine phosphate)/apap、鹽酸考來維侖(colesevelam hcl)、氰鈷胺素、葉酸、左氧氟沙星(levofloxacin)、甲潑尼龍、那他珠單抗(natalizumab)及干擾素γ組合。 Examples of therapeutic agents that can be combined with binding proteins for Crohn's disease include the following: TNF antagonists, such as the anti-TNF antibody adalimumab (PCT Publication No. WO 97/29131; HUMIRA®), CA2 (REMICADE) , CDP 571, TNFR-Ig construct, (p75TNFRIgG (ENBREL®) and p55TNFRIgG (LENERCEPT )) inhibitors and PDE4 inhibitors. The antibody or antigen-binding portion thereof of the present invention can be combined with a corticosteroid (such as butinide and dexamethasone). The binding protein or antigen-binding portion thereof of the present invention can also interact with drugs (such as sulfasalazine, 5-aminosalicylic acid, and oxasalazine) and interfere with the synthesis or action of pro-inflammatory cytokines (such as IL-1). Combination of pharmaceutical agents (such as IL-1 converting enzyme inhibitor and IL-1ra). The antibody or antigen-binding portion thereof of the present invention can also be used with a T cell signaling inhibitor (such as a tyrosine kinase inhibitor 6-mercaptopurine). The binding protein or antigen-binding portion thereof of the present invention can be combined with IL-11. The binding protein or the antigen-binding portion of the present invention can be used with mesalazine, prednisone, azathioprine, thiopurine, infliximab, methylprednisolone sodium succinate, diphenoxylate / atropine sulfate (atrop sulfate), loperamide hydrochloride, methotrexate, omeprazole, folate, ciprofloxacin / dextrose-water, codeine dihydrotartrate Ketones / apap, tetracycline hydrochloride, fluocinonide, metronidazole, thimerosal / boronic acid, cholestyramine / cholestyramine / sucrose, ciprofloxacin hydrochloride, scopolamine sulfate ( hyoscyamine sulfate, meperidine hydrochloride, midazolam hydrochloride, oxycodone hydrochloride / acetamide, promethazine hydrochloride, sodium phosphate, sulfamethoxamine Sulfamethoxazole / trimethoprim, celecoxib, polycarbophil, propoxyfen naphthalenesulfonate, hydrocortisone, multivitamin, balsalazine two (balsalazide disodium), codeine phosphate / apap, colesevelam hcl, cyanocobalamin, folic acid, levofloxacin, methylprednisolone, natalizumab And interferon gamma combination.

可與本發明之結合蛋白組合用於多發性硬化症(MS)之治療劑的非限制性實例包括以下:皮質類固醇;潑尼松龍;甲潑尼龍;硫唑嘌 呤;環磷醯胺;環孢素;甲胺喋呤;4-胺基吡啶;替紮尼定(tizanidine);干擾素-β1a(AVONEX;Biogen);干擾素-β1b(BETASERON;Chiron/Berlex);干擾素α-n3)(Interferon Sciences/Fujimoto)、干擾素-α(Alfa Wassermann/J&J)、干擾素β1A-IF(Serono/Inhale Therapeutics)、聚乙二醇化干擾素α2b(Enzon/Schering-Plough)、共聚物1(Cop-1;COPAXONE;Teva Pharmaceutical Industries,Inc.);高壓氧;靜脈內免疫球蛋白;克拉屈濱;其他人類細胞激素或生長因子及其受體(例如TNF、LT、IL-1、IL-2、IL-6、IL-7、IL-8、IL-23、IL-15、IL-16、IL-18、EMAP-II、GM-CSF、FGF及PDGF)之抗體或拮抗劑。本發明之結合蛋白可與細胞表面分子之抗體組合,該等分子諸如CD2、CD3、CD4、CD8、CD19、CD20、CD25、CD28、CD30、CD40、CD45、CD69、CD80、CD86、CD90或其配位體。本發明之結合蛋白亦可與藥劑組合,該等藥劑諸如甲胺喋呤、環孢素、FK506、雷帕黴素、黴酚酸嗎啉乙酯、來氟米特、NSAID(例如布洛芬)、皮質類固醇(諸如潑尼松龍)、磷酸二酯酶抑制劑、腺苷促效劑、抗血栓劑、補體抑制劑、腎上腺素激導劑、干擾促發炎性細胞激素(諸如TNFα或IL-1)信號傳導之藥劑(例如IRAK、NIK、IKK、p38或MAP激酶抑制劑)、IL-1β轉化酶抑制劑、TACE抑制劑、T細胞信號傳導抑制劑(諸如激酶抑制劑)、金屬蛋白酶抑制劑、柳氮磺胺吡啶、硫唑嘌呤、6-巰基嘌呤、血管收縮素轉化酶抑制劑、可溶性細胞激素受體及其衍生物(例如可溶性p55或p75 TNF受體、sIL-1RI、sIL-1RII、sIL-6R)、消炎細胞激素(例如IL-4、IL-10、IL-11、IL-13及TGFβ)及bcl-2抑制劑。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for multiple sclerosis (MS) include the following: corticosteroids; prednisolone; methylprednisolone; azathioprine Cyclophosphamide; cyclosporine; methotrexate; 4-aminopyridine; tizanidine; interferon-β1a (AVONEX; Biogen); interferon-β1b (BETASERON; Chiron / Berlex ); Interferon α-n3) (Interferon Sciences / Fujimoto), Interferon-α (Alfa Wassermann / J & J), Interferon β1A-IF (Serono / Inhale Therapeutics), PEGylated Interferon α2b (Enzon / Schering- Plough), copolymer 1 (Cop-1; COPAXONE; Teva Pharmaceutical Industries, Inc.); hyperbaric oxygen; intravenous immunoglobulin; cladribine; other human cytokines or growth factors and their receptors (such as TNF, LT , IL-1, IL-2, IL-6, IL-7, IL-8, IL-23, IL-15, IL-16, IL-18, EMAP-II, GM-CSF, FGF and PDGF) Antibodies or antagonists. The binding proteins of the present invention can be combined with antibodies to cell surface molecules such as CD2, CD3, CD4, CD8, CD19, CD20, CD25, CD28, CD30, CD40, CD45, CD69, CD80, CD86, CD90 or their combinations Bit body. The binding proteins of the present invention can also be combined with agents such as methotrexate, cyclosporine, FK506, rapamycin, mycophenolate morpholinate, leflunomide, NSAID (e.g. ibuprofen ), Corticosteroids (such as prednisolone), phosphodiesterase inhibitors, adenosine agonists, antithrombotic agents, complement inhibitors, adrenergic stimulants, interference with pro-inflammatory cytokines (such as TNFα or IL -1) Signaling agents (e.g. IRAK, NIK, IKK, p38 or MAP kinase inhibitors), IL-1β converting enzyme inhibitors, TACE inhibitors, T cell signaling inhibitors (such as kinase inhibitors), metalloproteinases Inhibitors, sulfasalazine, azathioprine, 6-mercaptopurine, angiotensin-converting enzyme inhibitors, soluble cytokine receptors and their derivatives (e.g. soluble p55 or p75 TNF receptors, sIL-1RI, sIL- 1RII, sIL-6R), anti-inflammatory cytokines (such as IL-4, IL-10, IL-11, IL-13 and TGFβ) and bcl-2 inhibitors.

可組合本發明之結合蛋白用於多發性硬化症之治療劑的實例包括干擾素-β,例如IFNβ1a及IFNβ1b;克帕松(copaxone);皮質類固醇;卡斯蛋白酶抑制劑,例如卡斯蛋白酶-1之抑制劑;IL-1抑制劑;TNF 抑制劑;及CD40配位體及CD80之抗體。 Examples of therapeutic agents that can be used in combination with the binding protein of the present invention for multiple sclerosis include interferon-β, such as IFNβ1a and IFNβ1b; copaxone; corticosteroids; 1 inhibitor; IL-1 inhibitor; TNF Inhibitors; and antibodies to CD40 ligands and CD80.

本發明之結合蛋白亦可與藥劑組合,該等藥劑諸如阿倫單抗、屈大麻酚(dronabinol)、Unimed、達利珠單抗(daclizumab)、米托蒽醌、鹽酸紮利羅登(xaliproden hydrochloride)、胺吡啶(fampridine)、乙酸格拉替美(glatiramer acetate)、那他珠單抗、辛那比多(sinnabidol)、a-免疫因子NNSO3、ABR-215062、AnergiX.MS、趨化因子受體拮抗劑、BBR-2778、卡勒胍素(calagualine)、CPI-1189、LEM(脂質體囊封之米托蒽醌)、THC.CBD(類大麻酚促效劑)、MBP-8298、美索普蘭(PDE4抑制劑)、MNA-715、抗IL-6受體抗體、紐若華(neurovax)、吡非尼酮阿羅卓普(pirfenidone allotrap)1258(RDP-1258)、sTNF-R1、他侖帕奈(talampanel)、特立氟胺(teriflunomide)、TGF-β2、替利莫肽(tiplimotide)、VLA-4拮抗劑(例如TR-14035、VLA4-Ultrahaler、Antegran-ELAN/Biogen)、干擾素γ拮抗劑、IL-4促效劑。 The binding proteins of the present invention can also be combined with pharmaceutical agents such as alenizumab, dronabinol, Unimed, daclizumab, mitoxantrone, xaliproden hydrochloride ), Fampridine, glatiramer acetate, natalizumab, sinnabidol, a-immune factor NNSO3, ABR-215062, AnergiX.MS, chemokine receptor Antagonist, BBR-2778, calagualine, CPI-1189, LEM (liposome-encapsulated mitoxantrone), THC.CBD (cannabinoid-like potentiator), MBP-8298, meso Puland (PDE4 inhibitor), MNA-715, anti-IL-6 receptor antibody, neurovax, pirfenidone allotrap 1258 (RDP-1258), sTNF-R1, talumpa Talampanel, teriflunomide, TGF-β2, tiplimotide, VLA-4 antagonists (e.g. TR-14035, VLA4-Ultrahaler, Antegran-ELAN / Biogen), interferon gamma Antagonist, IL-4 agonist.

可與本發明之結合蛋白組合用於心絞痛之治療劑的非限制性實例包括以下:阿司匹靈、硝酸甘油、單硝酸異山梨酯(isosorbide mononitrate)、丁二酸美托洛爾(metoprolol succinate)、阿替洛爾(atenolol)、酒石酸美托洛爾(metoprolol tartrate)、苄磺酸胺氯地平(amlodipine besylate)、鹽酸地爾硫卓(diltiazem hydrochloride)、二硝酸異山梨酯、氯吡格雷硫酸氫鹽(clopidogrel bisulfate)、硝苯地平(nifedipine)、阿托伐他汀鈣(atorvastatin calcium)、氯化鉀、呋喃苯胺酸(furosemide)、辛伐他汀(simvastatin)、鹽酸維拉帕米(verapamil hcl)、地高辛(digoxin)、鹽酸普萘洛爾(propranolol hydrochloride)、卡維地洛(carvedilol)、賴諾普利(lisinopril)、螺內酯(spironolactone)、氫氯噻嗪(hydrochlorothiazide)、順丁烯二酸依那普利(enalapril maleate)、納多洛爾(nadolol)、雷米普利(ramipril)、依諾肝素鈉(enoxaparin sodium)、肝素鈉(heparin sodium)、纈沙坦(valsartan)、鹽 酸索他洛爾(sotalol hydrochloride)、非諾貝特(fenofibrate)、依澤替米貝(ezetimibe)、布美他尼(bumetanide)、洛沙坦鉀(losartan potassium)、賴諾普利/氫氯噻嗪、非洛地平(felodipine)、卡托普利(captopril)、反丁烯二酸比索洛爾(bisoprolol fumarate)。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for angina include the following: aspirin, nitroglycerin, isosorbide mononitrate, metoprolol succinate ), Atenolol, metoprolol tartrate, amlodipine besylate, diltiazem hydrochloride, isosorbide dinitrate, clopidogrel bisulfate (clopidogrel bisulfate), nifedipine, atorvastatin calcium, potassium chloride, furosemide, simvastatin, verapamil hcl, Digoxin, propranolol hydrochloride, carvedilol, lisinopril, spironolactone, hydrochlorothiazide, and maleic acid enala Enalapril maleate, nadolol, ramipril, enoxaparin sodium, heparin sodium, valsartan tan), salt Sotalol hydrochloride, fenofibrate, ezetimibe, bumetanide, losartan potassium, lisinopril / hydrochlorothiazide , Felodipine, captopril, bisoprolol fumarate.

可與本發明之結合蛋白組合用於僵直性脊椎炎之治療劑的非限制性實例包括以下:布洛芬、雙氯芬酸及米索前列醇、萘普生、美洛昔康、吲哚美辛、雙氯芬酸、塞來昔布、羅非昔布、柳氮磺胺吡啶、甲胺喋呤、硫唑嘌呤、米諾環素(minocyclin)、潑尼松、依那西普、英利昔單抗。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for ankylosing spondylitis include the following: ibuprofen, diclofenac and misoprostol, naproxen, meloxicam, indomethacin, Diclofenac, celecoxib, rofecoxib, sulfasalazine, methotrexate, azathioprine, minocyclin, prednisone, etanercept, infliximab.

可與本發明之結合蛋白組合用於哮喘之治療劑的非限制性實例包括以下:阿布特羅(albuterol)、沙美特羅(salmeterol)/氟替卡松(fluticasone)、孟魯司特鈉(montelukast sodium)、丙酸氟替卡松(fluticasone propionate)、布地奈德(budesonide)、潑尼松、羥萘甲酸沙美特羅、鹽酸左阿布特羅(levalbuterol hcl)、硫酸阿布特羅/異丙托銨、潑尼松龍磷酸鈉、曲安奈德、二丙酸倍氯米松(beclomethasone dipropionate)、異丙托溴銨(ipratropium bromide)、阿奇黴素(azithromycin)、乙酸吡布特羅(pirbuterol acetate)、潑尼松龍、無水茶鹼、甲潑尼龍丁二酸鈉、克拉黴素(clarithromycin)、紮魯司特(zafirlukast)、反丁烯二酸福莫特羅(formoterol fumarate)、流感病毒疫苗、甲潑尼龍、三水合阿莫西林(amoxicillin trihydrate)、氟尼縮松(flunisolide)、過敏症注射液、色甘酸鈉、鹽酸菲索特非那定(fexofenadine hydrochloride)、氟尼縮松/薄荷腦(menthol)、阿莫西林(amoxicillin)/棒酸鹽(clavulanate)、左氧氟沙星(levofloxacin)、吸入器輔助裝置、愈創甘油醚(guaifenesin)、地塞米松磷酸鈉、鹽酸莫西沙星(moxifloxacin hcl)、鹽酸強力黴素(doxycycline hyclate)、愈創甘油醚/d-美沙芬(d-methorphan)、p-麻黃素/cod/氯芬尼(chlorphenir)、加替 沙星(gatifloxacin)、鹽酸西替利嗪(cetirizine hydrochloride)、糠酸莫美他松(mometasone furoate)、羥萘甲酸沙美特羅、苯佐那酯(benzonatate)、頭孢胺苄(cephalexin)、pe/氫可酮/氯芬尼、鹽酸西替利嗪/假麻黃素(pseudoephed)、苯腎上腺素/cod/普敏太定(promethazine)、可待因/普敏太定、頭孢丙烯(cefprozil)、地塞米松、愈創甘油醚/假麻黃素、氯芬尼拉明(chlorpheniramine)/氫可酮、奈多羅米鈉(nedocromil sodium)、硫酸特布他林、腎上腺素、甲潑尼龍、硫酸間羥異丙腎上腺素(metaproterenol sulfate)。 Non-limiting examples of therapeutic agents that can be used in combination with the binding proteins of the present invention for asthma include the following: abuterol, salmeterol / fluticasone, montelukast sodium , Fluticasone propionate, budesonide, prednisone, salmeterol hydroxynaphthoate, levalbuterol hcl, albuterol / isotropium sulfate, prednisone Sodium sodium phosphate, triamcinolone, beclomethasone dipropionate, ipratropium bromide, azithromycin, pirbuterol acetate, prednisolone, anhydrous Theophylline, methylprednisolone sodium succinate, clarithromycin, zafirlukast, formoterol fumarate, influenza virus vaccine, methylprednisolone, trihydrate Amoxicillin trihydrate, flunisolide, allergy injection, sodium cromoglycate, fexofenadine hydrochloride, mentho l), amoxicillin / clavulanate, levofloxacin, inhaler aids, guaifenesin, dexamethasone sodium phosphate, moxifloxacin hydrochloride, Doxycycline hyclate, guaifenesin / d-methorphan, p-ephedrine / cod / chlorphenir, gati Gatifloxacin, cetirizine hydrochloride, mometasone furoate, salmeterol hydroxynaphthoate, benzonatate, cephalexin, pe / Hydrocodone / clofenac, cetirizine hydrochloride / pseudoephed, phenylephrine / cod / promethazine, codeine / promethazine, cefprozil ), Dexamethasone, guaifenesin / pseudoephedrine, chlorpheniramine / hydrocodone, nedocromil sodium, terbutaline sulfate, epinephrine, methylprednisolone , Metaproterenol sulfate.

可與本發明之結合蛋白組合用於COPD之治療劑的非限制性實例包括以下:硫酸阿布特羅/異丙托銨、異丙托溴銨、沙美特羅/氟替卡松、阿布特羅、羥萘甲酸沙美特羅、丙酸氟替卡松、潑尼松、無水茶鹼、甲潑尼龍丁二酸鈉、孟魯司特鈉、布地奈德、反丁烯二酸福莫特羅、曲安奈德、左氧氟沙星、愈創甘油醚、阿奇黴素、二丙酸倍氯米松、鹽酸左阿布特羅、氟尼縮松、頭孢曲松鈉(ceftriaxone sodium)、三水合阿莫西林、加替沙星、紮魯司特、阿莫西林/棒酸鹽、氟尼縮松/薄荷腦、氯芬尼拉明/氫可酮、硫酸間羥異丙腎上腺素、甲潑尼龍、糠酸莫美他松、p-麻黃素/cod/氯芬尼、乙酸吡布特羅、p-麻黃素/氯雷他定(loratadine)、硫酸特布他林、噻托溴銨(tiotropium bromide)、(R,R)-福莫特羅、TgAAT、西洛司特(Cilomilast)、羅氟司特。 Non-limiting examples of therapeutic agents that can be used in combination with the binding proteins of the present invention for COPD include the following: abuterol sulfate / isotropium ammonium, ipratropium bromide, salmeterol / fluticasone, abuterol, hydroxynaphthalene Salmeterol formate, fluticasone propionate, prednisone, anhydrous theophylline, methylprednisolone sodium succinate, montelukast sodium, budesonide, formoterol fumarate, triamcinolone, levofloxacin , Guaifenesin, azithromycin, beclomethasone dipropionate, levobutrol hydrochloride, flunisolone, ceftriaxone sodium, amoxicillin trihydrate, gatifloxacin, zalustast , Amoxicillin / cobate salt, flunisolone / menthol, clofeniramine / hydrocodone, metaisoproterenol sulfate, methylprednisolone, mometasone furoate, p-ephedra / Cod / clofenac, piobuterol acetate, p-ephedrine / loratadine, terbutaline sulfate, tiotropium bromide, (R, R) -fu Moterol, TgAAT, Cilomilast, Roflumilast.

可與本發明之結合蛋白組合用於HCV之治療劑的非限制性實例包括以下:干擾素-α-2a、干擾素-α-2b、干擾素-α con1、干擾素-α-n1、聚乙二醇化干擾素-α-2a、聚乙二醇化干擾素-α-2b、病毒唑(ribavirin)、聚乙二醇化干擾素α-2b+病毒唑、熊去氧膽酸(Ursodeoxycholic Acid)、甘草酸(Glycyrrhizic Acid)、胸腺法新(Thymalfasin)、邁克瑟敏(Maxamine)、VX-497及用以經由介入以下標 靶治療HCV之任何化合物:HCV聚合酶、HCV蛋白酶、HCV解螺旋酶、HCV IRES(內部核糖體入口位點)。 Non-limiting examples of therapeutic agents that can be used in combination with the binding proteins of the present invention for HCV include the following: interferon-α-2a, interferon-α-2b, interferon-α con1, interferon-α-n1, poly Pegylated interferon-α-2a, pegylated interferon-α-2b, ribavirin, pegylated interferon α-2b + ribavirin, ursodeoxycholic acid, licorice Glycyrrhizic Acid, Thymalfasin, Maxamine, VX-497 and subscripts through intervention Any compound that targets HCV: HCV polymerase, HCV protease, HCV helicase, HCV IRES (internal ribosome entry site).

可與本發明之結合蛋白組合用於特發性肺纖維化之治療劑的非限制性實例包括以下:潑尼松、硫唑嘌呤、阿布特羅、秋水仙鹼、硫酸阿布特羅、地高辛、γ干擾素、甲潑尼龍丁二酸鈉、勞拉西泮(lorazepam)、呋喃苯胺酸(furosemide)、賴諾普利、硝酸甘油、螺內酯、環磷醯胺、異丙托溴銨、放線菌素d、阿替普酶(alteplase)、丙酸氟替卡松、左氧氟沙星、硫酸間羥異丙腎上腺素、硫酸嗎啡、鹽酸羥考酮、氯化鉀、曲安奈德、無水他克莫司、鈣、干擾素-α、甲胺喋呤、黴酚酸嗎啉乙酯、干擾素-γ-1β。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for idiopathic pulmonary fibrosis include the following: prednisone, azathioprine, abutrol, colchicine, abutrol sulfate, digote Octane, interferon gamma, methylprednisolone sodium succinate, lorazepam, furosemide, lisinopril, nitroglycerin, spironolactone, cyclophosphamide, ipratropium bromide, Actinomycin d, alteplase, fluticasone propionate, levofloxacin, metaisoproterenol sulfate, morphine sulfate, oxycodone hydrochloride, potassium chloride, triamcinolone, tacrolimus anhydrous, calcium , Interferon-α, methotrexate, mycophenolate morpholinate, and interferon-γ-1β.

可與本發明之結合蛋白組合用於心肌梗塞之治療劑的非限制性實例包括以下:阿司匹靈、硝酸甘油、酒石酸美托洛爾、依諾肝素鈉、肝素鈉、氯吡格雷硫酸氫鹽、卡維地洛、阿替洛爾、硫酸嗎啡、丁二酸美托洛爾、華法林鈉(warfarin sodium)、賴諾普利、單硝酸異山梨酯、地高辛、呋喃苯胺酸、辛伐他汀、雷米普利、替奈普酶、順丁烯二酸依那普利、托西邁(torsemide)、瑞替普酶(retavase)、洛沙坦鉀、鹽酸喹那普利/碳酸鎂(mag carb)、布美他尼、阿替普酶、依那普利拉(enalaprilat)、鹽酸胺碘酮(amiodarone hydrochloride)、單水合鹽酸替羅非班(tirofiban hcl m-hydrate)、鹽酸地爾硫卓、卡托普利、厄貝沙坦(irbesartan)、纈沙坦、鹽酸普萘洛爾、福辛普利鈉(fosinopril sodium)、鹽酸利多卡因、埃替菲巴肽(eptifibatide)、頭孢唑林鈉(cefazolin sodium)、硫酸阿托平(atropine sulfate)、胺基己酸(aminocaproic acid)、螺內酯、干擾素、鹽酸索他洛爾、氯化鉀、多庫酯鈉(docusate sodium)、鹽酸多巴酚丁胺(dobutamine hcl)、阿普唑侖(alprazolam)、普伐他汀鈉(pravastatin sodium)、阿托伐他汀鈣、鹽酸咪達唑侖(midazolam hydrochloride)、鹽酸哌替啶、二硝酸異山梨 酯、腎上腺素、鹽酸多巴胺(dopamine hydrochloride)、比伐盧定(bivalirudin)、羅素他汀(rosuvastatin)、依澤替米貝/辛伐他汀、阿伐麥布(avasimibe)、卡立泊來德(cariporide)。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for myocardial infarction include the following: aspirin, nitroglycerin, metoprolol tartrate, enoxaparin sodium, heparin sodium, clopidogrel hydrogen sulfate Salt, carvedilol, atenolol, morphine sulfate, metoprolol succinate, warfarin sodium, lisinopril, isosorbide mononitrate, digoxin, furanilic acid , Simvastatin, ramipril, tenaiprise, enalapril maleate, torsemide, retavase, losartan potassium, quinapril hydrochloride / Mag carb, bumetanib, alteplase, enalaprilat, amiodarone hydrochloride, tirofiban hcl m-hydrate , Diltiazem hydrochloride, captopril, irbesartan, valsartan, propranolol hydrochloride, fosinopril sodium, lidocaine hydrochloride, eptifibatide , Cefazolin sodium, atropine sulfate, aminoca proic acid), spironolactone, interferon, sotalol hydrochloride, potassium chloride, docusate sodium, dobutamine hcl, alprazolam, pravastatin Sodium (pravastatin sodium), atorvastatin calcium, midazolam hydrochloride, pethidine hydrochloride, isosorbide dinitrate Esters, epinephrine, dopamine hydrochloride, bivalirudin, rosuvastatin, ezetimibe / simvastatin, avasimibe, cariporide ( cariporide).

可與本發明之結合蛋白組合用於牛皮癬之治療劑的非限制性實例包括以下:KDR之小分子抑制劑、Tie-2之小分子抑制劑、鈣泊三醇(calcipotriene)、丙酸氯氟美松(clobetasol propionate)、曲安奈德、丙酸鹵貝他索(halobetasol propionate)、他紮羅汀(tazarotene)、甲胺喋呤、氟欣諾能、加強型二丙酸倍他米松、氟西奈德(fluocinolone acetonide)、阿曲汀(acitretin)、焦油洗髮精、戊酸倍他米松(betamethasone valerate)、糠酸莫美他松、酮康唑(ketoconazole)、普莫卡因(pramoxine)/氟新龍(fluocinolone)、戊酸氫化可的松、氟氫縮松(flurandrenolide)、尿素、倍他米松(betamethasone)、丙酸氯倍他索(clobetasol propionate)/潤膚劑、丙酸氟替卡松、阿奇黴素、氫化可的松、增濕配方、葉酸、地奈德(desonide)、吡美莫司(pimecrolimus)、煤焦油、二乙酸二氟拉松(diflorasone diacetate)、葉酸依那西普、乳酸、甲氧沙林(methoxsalen)、hc/次沒食子酸鉍/znox/resor、乙酸甲潑尼龍、潑尼松、防曬劑、哈西奈德(halcinonide)、水楊酸、蒽三酚(anthralin)、特戊酸氯可托龍(clocortolone pivalate)、煤萃取物、煤焦油/水楊酸、煤焦油/水楊酸/硫、去羥米松(desoximetasone)、安定(diazepam)、潤膚劑、氟欣諾能/潤膚劑、礦物油/蓖麻油/乳酸鈉(na lact)、礦物油/花生油、石油/十四烷酸異丙酯、補骨脂素(psoralen)、水楊酸、皂/三溴沙侖(tribromsalan)、硫柳汞/硼酸、塞來昔布、英利昔單抗、環孢素、阿法賽特(alefacept)、依法珠單抗(efalizumab)、他克莫司、吡美莫司、PUVA、UVB、柳氮磺胺吡啶。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for psoriasis include the following: small molecule inhibitors of KDR, small molecule inhibitors of Tie-2, calcipotriene, chlorofluoropropionate Clobetasol propionate, triamcinolone, halobetasol propionate, tazarotene, methotrexate, fluoxonol, enhanced betamethasone dipropionate, fluoride Fluocinolone acetonide, acitretin, tar shampoo, betamethasone valerate, mometasone furoate, ketoconazole, pramoxine / Fluocinolone, hydrocortisone valerate, flurandrenolide, urea, betamethasone, clobetasol propionate / emollient, fluticasone propionate Azithromycin, hydrocortisone, moisturizing formula, folic acid, desonide, pimecrolimus, coal tar, diflorasone diacetate, etanercept folic acid, lactic acid , Methoxsalen, hc / Bismuth gallate / znox / resor, methylprednisolone acetate, prednisone, sunscreen, halcinonide, salicylic acid, anthratriol, clocotolone pivalate ), Coal extract, coal tar / salicylic acid, coal tar / salicylic acid / sulfur, desoximetasone, diazepam, emollients, fluoxonol / emollients, mineral oil / Castor oil / na lactate, mineral oil / arachis oil, petroleum / isopropyl myristate, psoralen, salicylic acid, soap / tribromsalan, thimerosal / boronic acid, Celecoxib, Infliximab, Cyclosporine, Alfacept, efalizumab, Tacrolimus, Pimecrolimus, PUVA, UVB, Sulfasalazine.

可與本發明之結合蛋白組合用於牛皮癬性關節炎之治療劑的非限制性實例包括以下:甲胺喋呤、依那西普、羅非昔布、塞來昔布、葉 酸、柳氮磺胺吡啶、萘普生、來氟米特、乙酸甲潑尼龍、吲哚美辛、硫酸羥氯喹、潑尼松、舒林酸、加強型二丙酸倍他米松、英利昔單抗、甲胺喋呤、葉酸鹽、曲安奈德、雙氯芬酸、二甲亞碸、吡羅昔康、雙氯芬酸鈉、酮洛芬(ketoprofen)、美洛昔康、甲潑尼龍、萘丁美酮、托美丁鈉(tolmetin sodium)、鈣泊三醇、環孢素、雙氯芬酸鈉/米索前列醇、氟欣諾能、硫酸葡糖胺、硫代蘋果酸金鈉、重酒石酸二氫可待因酮/apap、布洛芬、利塞膦酸鈉(risedronate sodium)、磺胺嘧啶、硫鳥嘌呤、伐地昔布、阿法賽特、依法珠單抗及bcl-2抑制劑。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for psoriasis arthritis include the following: methotrexate, etanercept, rofecoxib, celecoxib, leaves Acid, sulfasalazine, naproxen, leflunomide, methylprednisolone acetate, indomethacin, hydroxychloroquine sulfate, prednisone, sulindac acid, betamethasone dipropionate, infliximab Antibiotics, methotrexate, folate, triamcinolone, diclofenac, dimethylarsonine, piroxicam, diclofenac sodium, ketoprofen, meloxicam, methylprednisolone, nabumetone , Tolmetin sodium, calcipotriol, cyclosporine, diclofenac sodium / misoprostol, fluoxinol, glucosamine sulfate, gold sodium thiomalate, dihydrotartrate Indone / apap, ibuprofen, risedronate sodium, sulfadiazine, thioguanine, vardecoxib, afaset, efazumab, and bcl-2 inhibitors.

可與本發明之結合蛋白組合用於再狹窄之治療劑的非限制性實例包括以下:西羅莫司、太平洋紫杉醇、依維莫司(everolimus)、他克莫司、佐他莫司(Zotarolimus)、乙醯胺苯酚。 Non-limiting examples of therapeutic agents that may be used in combination with the binding proteins of the present invention for restenosis include the following: sirolimus, paclitaxel, everolimus, tacrolimus, zotalimus (Zotarolimus ), Acetamidophenol.

可與本發明之結合蛋白組合用於坐骨神經痛之治療劑的非限制性實例包括以下:重酒石酸二氫可待因酮/apap、羅非昔布、鹽酸環苯紮平(cyclobenzaprine hcl)、甲潑尼龍、萘普生、布洛芬、鹽酸羥考酮/乙醯胺苯酚、塞來昔布、伐地昔布、乙酸甲潑尼龍、潑尼松、磷酸可待因/apap、鹽酸曲馬多/乙醯胺苯酚、美他沙酮、美洛昔康、美索巴莫(methocarbamol)、鹽酸利多卡因、雙氯芬酸鈉、加巴噴丁(gabapentin)、地塞米松、肌安寧(carisoprodol)、酮咯酸緩血酸胺(ketorolac tromethamine)、吲哚美辛、乙醯胺苯酚、安定、萘丁美酮、鹽酸羥考酮、鹽酸替紮尼定、雙氯芬酸鈉/米索前列醇、萘磺酸丙氧芬/apap、asa/羥考酮/羥考酮ter(oxycodone ter)、布洛芬/重酒石酸二氫可待因酮、鹽酸曲馬多、依託度酸、鹽酸丙氧芬、鹽酸阿米替林、肌安寧/磷酸可待因/asa、硫酸嗎啡、綜合維生素、萘普生鈉、檸檬酸奧芬那君(orphenadrine citrate)、替馬西泮(temazepam)。 Non-limiting examples of therapeutic agents that can be used in combination with the binding protein of the present invention for sciatica include the following: dihydrocodeinone / apap, rofecoxib, cyclobenzaprine hcl, a Prednisone, naproxen, ibuprofen, oxycodone / acetamide, celecoxib, vardecoxib, methylprednisolone acetate, prednisone, codeine phosphate / apap, tramadol hydrochloride / Acetamide, methadone, meloxicam, methocarbamol, lidocaine hydrochloride, diclofenac, gabapentin, dexamethasone, carisoprodol, ketorolac Ketorolac tromethamine, indomethacin, acetaminophen, diazepam, nabumetone, oxycodone hydrochloride, tizanidine hydrochloride, diclofenac sodium / misoprostol, propoxyl naphthalenesulfonate Fen / apap, asa / oxycodone / oxycodone ter, ibuprofen / dihydrocodeinone tartrate, tramadol hydrochloride, etodolac, propoxyfen hydrochloride, amitriptyline hydrochloride , Myanthine / codeine phosphate / asa, morphine sulfate, multivitamins, naproxen sodium , Orphenadrine citrate, temazepam.

可組合本發明之結合蛋白用於SLE(狼瘡)之治療劑的實例包括以下:NSAID,例如雙氯芬酸、萘普生、布洛芬、吡羅昔康、吲哚美 辛;COX2抑制劑,例如塞來昔布、羅非昔布、伐地昔布;抗瘧疾劑,例如羥氯喹;類固醇,例如潑尼松、潑尼松龍、布替耐德、地塞米松;細胞毒素,例如硫唑嘌呤、環磷醯胺、黴酚酸嗎啉乙酯、甲胺喋呤;PDE4抑制劑或嘌呤合成抑制劑,例如山喜多(Cellcept)。本發明之結合蛋白亦可與藥劑(諸如柳氮磺胺吡啶、5-胺基水楊酸、奧沙拉嗪、硫唑嘌呤、移護寧(Imuran))及干擾促發炎性細胞激素(諸如IL-1)之合成、產生或作用之藥劑(例如卡斯蛋白酶抑制劑,如IL-1β轉化酶抑制劑及IL-1ra)組合。本發明之結合蛋白亦可與T細胞信號傳導抑制劑(例如酪胺酸激酶抑制劑)或靶向T細胞活化分子之分子(例如CTLA-4-IgG或抗B7家族抗體、抗PD-1家族抗體)一起使用。本發明之結合蛋白可與IL-11或抗細胞激素抗體(例如芳妥珠單抗(fonotolizumab;抗IFNg抗體))或抗受體受體抗體(例如抗IL-6受體抗體)及B細胞表面分子之抗體組合。本發明之抗體或其抗原結合部分亦可與LJP 394(阿貝莫司(abetimus))、消耗或不活化B細胞之藥劑(例如利妥昔單抗(抗CD20抗體))、lymphostat-B(抗BlyS抗體)、TNF拮抗劑(例如抗TNF抗體阿達木單抗(PCT公開案第WO 97/29131號;HUMIRA®))、CA2(REMICADE®)、CDP 571、TNFR-Ig構築體、(p75TNFRIgG(ENBREL®)及p55TNFRIgG(LENERCEPT®))及bcl-2抑制劑一起使用,此歸因於已證明轉殖基因小鼠中之bcl-2過度表現導致狼瘡樣表型(參見Marquina等人,J.Immunol.,172(11):7177-7185(2004)),因此抑制預期具有治療作用。 Examples of therapeutic agents that can be combined with the binding protein of the present invention for SLE (lupus) include the following: NSAID, such as diclofenac, naproxen, ibuprofen, piroxicam, indomethacin; COX2 inhibitors, such as Lenecoxib, rofecoxib, vardecoxib; antimalarials, such as hydroxychloroquine; steroids, such as prednisone, prednisone, butenad, dexamethasone; cytotoxins, such as azathioprine , Cyclophosphamide, mycophenolate morpholinate, methotrexate; PDE4 inhibitors or purine synthesis inhibitors, such as Cellcept. The binding proteins of the present invention can also interact with agents (such as sulfasalazine, 5-aminosalicylic acid, oxasalazine, azathioprine, Imuran) and interfere with pro-inflammatory cytokines (such as IL- 1) Combinations of synthetic, producing, or acting agents (eg, Cassin inhibitors, such as IL-1β converting enzyme inhibitors and IL-1ra). The binding protein of the present invention can also be used with T cell signaling inhibitors (such as tyrosine kinase inhibitors) or molecules that target T cell activating molecules (such as CTLA-4-IgG or anti-B7 family antibodies, anti-PD-1 family). Antibodies). The binding protein of the present invention can be used with IL-11 or anti-cytokine antibodies (such as fonotolizumab (anti-IFNg antibodies)) or anti-receptor receptor antibodies (such as anti-IL-6 receptor antibodies) and B cells Antibody combination of surface molecules. The antibody or antigen-binding portion thereof of the present invention can also be used with LJP 394 (abetimus), agents that deplete or inactivate B cells (such as rituximab (anti-CD20 antibody)), lymphostat-B ( (Anti-BlyS antibody), TNF antagonists (such as anti-TNF antibody adalimumab (PCT Publication No. WO 97/29131; HUMIRA®)), CA2 (REMICADE®), CDP 571, TNFR-Ig construct, (p75TNFRIgG (ENBREL®) and p55TNFRIgG (LENERCEPT®)) and bcl-2 inhibitors due to lupus-like phenotypes that have been shown to overexpress bcl-2 in transgenic mice (see Marquina et al., J Immunol. , 172 (11): 7177-7185 (2004)), so inhibition is expected to have a therapeutic effect.

本發明之醫藥組合物可包括「治療有效量」或「預防有效量」之本發明之抗體或抗體部分。「治療有效量」係指在必要劑量及時段下有效達成所需治療結果之量。抗體或抗體部分之治療有效量可由熟習此項技術者確定且可根據諸如個體之疾病狀況、年齡、性別及體重以及抗體或抗體部分在個體中引起所需反應之能力等因素而變化。治療 有效量亦為治療有利作用超過抗體或抗體部分之任何毒性或有害作用之量。「預防有效量」係指在必要劑量及時段下有效達成所需預防結果之量。通常,因為預防劑量係在疾病之前或在疾病早期用於個體中,所以預防有效量少於治療有效量。 A pharmaceutical composition of the invention may include a "therapeutically effective amount" or a "prophylactically effective amount" of an antibody or antibody portion of the invention. A "therapeutically effective amount" means an amount effective to achieve a desired therapeutic result at the necessary dose and time period. The therapeutically effective amount of the antibody or antibody portion can be determined by those skilled in the art and can vary depending on factors such as the disease state, age, sex, and weight of the individual and the ability of the antibody or antibody portion to elicit a desired response in the individual. treatment An effective amount is also one in which a therapeutically beneficial effect exceeds any toxic or detrimental effect of the antibody or antibody portion. "Prophylactically effective amount" means an amount effective to achieve a desired preventive result at the necessary dose and time period. Generally, because a prophylactic dose is used in an individual before or early in the disease, a prophylactically effective amount is less than a therapeutically effective amount.

可調整給藥方案以提供最佳所需反應(例如治療或預防反應)。舉例而言,可投與單次大丸劑,可隨時間投與若干分次劑量或可依治療情況之緊急性所指示,按比例減少或增加劑量。尤其宜將非經腸組合物調配成單位劑型以方便投藥及達到劑量均一性。如本文所用之單位劑型係指適合作為單一劑量用於待治療之哺乳動物個體的物理個別單元;各單元含有經計算以產生所需治療作用之預定量活性化合物與所需醫藥載劑。本發明之單位劑型的規格由以下因素規定且直接視其而定:(a)活性化合物之獨特特徵及待達成之特定治療或預防作用,及(b)相關技術中混配該活性化合物用於治療個體之敏感性的固有限制。 The dosing regimen can be adjusted to provide the best desired response (e.g., a therapeutic or prophylactic response). For example, a single bolus can be administered, several divided doses can be administered over time, or the dose can be proportionally reduced or increased as indicated by the urgency of the treatment situation. It is particularly desirable to formulate parenteral compositions into unit dosage forms to facilitate administration and achieve uniformity of dosage. A unit dosage form as used herein refers to a physical individual unit suitable as a single dose for a mammalian individual to be treated; each unit contains a predetermined amount of active compound and a required pharmaceutical carrier, which are calculated to produce the desired therapeutic effect. The specifications of the unit dosage form of the present invention are determined by and directly depend on the following factors: (a) the unique characteristics of the active compound and the specific therapeutic or preventive effect to be achieved, and (b) the active compound is mixed in the related technology for Inherent limitations of the sensitivity of the treated individual.

應注意,劑量值可隨待減輕之病狀之類型及嚴重程度而變化。應進一步瞭解,對於任何特定個體,特定給藥方案應根據個體需要及投與組合物或監督組合物投與之人員的專業判斷而隨著時間調整,且本文中闡述之劑量範圍僅為例示性且無意限制所主張組合物之範疇或操作。 It should be noted that the dose value may vary depending on the type and severity of the condition to be alleviated. It should be further understood that for any particular individual, the particular dosing regimen should be adjusted over time based on individual needs and the professional judgment of the person who administers the composition or supervises the administration of the composition, and the dosage ranges set forth herein are merely exemplary It is not intended to limit the scope or operation of the claimed composition.

診斷diagnosis

本文中之揭示內容亦提供診斷應用。此進一步闡明如下。結合本發明之IL-1β之抗體可呈多種形式中之任一者用於在活體內、活體外或離體(亦即,在自活個體獲得之細胞或組織中,使其經過程序處理,隨後再回至個體中)偵測IL-1β。本發明之DVD-Ig提供能夠在各種診斷及偵測檢定形式中結合IL-1β之抗原決定基以及其他抗原或抗原決定基的進一步優勢。 The disclosures in this article also provide diagnostic applications. This is further elucidated as follows. Antibodies that bind to the IL-1β of the present invention can be used in any of a variety of forms in vivo, in vitro, or ex vivo (i.e., in a cell or tissue obtained from a living individual, subject to a programmatic treatment, and Return to the subject) to detect IL-1β. The DVD-Ig of the present invention provides the further advantage of being able to bind to the epitopes of IL-1β and other antigens or epitopes in various diagnostic and detection assay formats.

I. 檢定方法 I. Test method

本發明亦提供使用如本文所述之至少一種抗IL-1β結合蛋白或其抗原結合部分(包括DVD-Ig)測定試樣中之IL-1β或其片段(「分析物」)之存在、量或濃度的方法。如在此項技術中已知之任何適合檢定可用於該方法中。實例包括(但不限於)免疫檢定,諸如夾心免疫檢定(例如單株、多株及/或DVD-Ig夾心免疫檢定或其任何變化形式(例如單株/DVD-Ig、DVD-Ig/多株等),包括放射性同位素偵測(放射免疫檢定(RIA))及酶偵測(酶免疫檢定(EIA)或酶聯免疫吸附檢定(ELISA)(例如Quantikine ELISA檢定,R&D Systems,Minneapolis,Minnesota)))、競爭性抑制免疫檢定(例如正向及反向)、螢光偏振免疫檢定(FPIA)、酶倍增免疫檢定技術(EMIT)、生物發光共振能量轉移(BRET)及均質化學發光檢定等。在基於SELDI之免疫檢定中,將特異性結合相關分析物(或其片段)之捕捉試劑連接至質譜分析探針(諸如預活化蛋白晶片陣列)之表面。隨後將分析物(或其片段)特異性捕捉於生物晶片上,且所捕捉之分析物(或其片段)由質譜分析偵測。或者,可將分析物(或其片段)自捕捉試劑溶離且由常規MALDI(基質輔助雷射脫附/離子化)或由SELDI來偵測。化學發光微粒免疫檢定,尤其採用ARCHITECT®自動分析器之一種免疫檢定(Abbott Laboratories,Abbott Park,Illinois)為例示性免疫檢定之實例。 The present invention also provides the use of at least one anti-IL-1β binding protein or antigen-binding portion thereof (including DVD-Ig) as described herein to determine the presence and amount of IL-1β or a fragment thereof ("analyte") in a sample. Or concentration method. Any suitable assay as known in the art can be used in the method. Examples include, but are not limited to, immunoassays, such as sandwich immunoassays (e.g., single strain, multiple strains, and / or DVD-Ig sandwich immunoassays, or any variation thereof (e.g., single strains / DVD-Ig, DVD-Ig / multiple strains) Etc.), including radioisotope detection (radioimmunoassay (RIA)) and enzyme detection (enzyme immunoassay (EIA) or enzyme-linked immunosorbent assay (ELISA) (e.g. Quantikine ELISA test, R & D Systems, Minneapolis, Minnesota)) ), Competitive inhibition immunoassay (such as forward and reverse), fluorescent polarization immunoassay (FPIA), enzyme doubling immunoassay technology (EMIT), bioluminescent resonance energy transfer (BRET), and homogeneous chemiluminescence assay. In a SELDI-based immunoassay, a capture reagent that specifically binds the relevant analyte (or a fragment thereof) is attached to the surface of a mass spectrometry probe, such as a pre-activated protein wafer array. The analyte (or a fragment thereof) is then specifically captured on a biochip, and the captured analyte (or a fragment thereof) is detected by mass spectrometric analysis. Alternatively, the analyte (or a fragment thereof) can be dissociated from the capture reagent and detected by conventional MALDI (matrix-assisted laser desorption / ionization) or by SELDI. Chemiluminescence microparticle immunoassay, especially an immunoassay using ARCHITECT® automatic analyzer (Abbott Laboratories, Abbott Park, Illinois) is an example of an exemplary immunoassay.

將此項技術中熟知之收集、操控且處理尿液、血液、血清及血漿及其他體液之方法用於本發明之實務中,例如當將如本文所述之抗IL-1β結合蛋白用作免疫診斷試劑及/或用於分析物免疫檢定套組中時。試樣可包含除相關分析物之外之其他部分,諸如抗體、抗原、半抗原、激素、藥物、酶、受體、蛋白質、肽、多肽、寡核苷酸及/或聚核苷酸。舉例而言,樣本可為自個體獲得之全血樣本。在如本文所述之免疫檢定之前例如以預處理試劑來處理試樣、尤其全血可能為必 要的或需要的。甚至在預處理不必要的情況下(例如大多數尿樣),可視情況進行預處理(例如作為商業平台上之方案之一部分)。 Methods for collecting, manipulating, and processing urine, blood, serum, plasma, and other body fluids well known in the art are used in the practice of the present invention, for example when using an anti-IL-1β binding protein as described herein for immunization Diagnostic reagents and / or when used in analyte immunoassay kits. The sample may contain other portions than the relevant analyte, such as antibodies, antigens, haptens, hormones, drugs, enzymes, receptors, proteins, peptides, polypeptides, oligonucleotides, and / or polynucleotides. For example, the sample may be a whole blood sample obtained from an individual. It may be necessary to treat a sample, especially whole blood, with a pretreatment reagent, for example, before an immunoassay as described herein. Necessary or needed. Even when pretreatment is not necessary (such as most urine samples), pretreatment can be performed as appropriate (such as part of a solution on a commercial platform).

預處理試劑可為適用於本發明之免疫檢定及套組之任何試劑。預處理視情況包含:(a)一或多種溶劑(例如甲醇及乙二醇)及視情況選用之鹽,(b)一或多種溶劑及鹽及視情況選用之清潔劑,(c)清潔劑,或(d)清潔劑及鹽。預處理試劑在此項技術中為已知的,且可例如如Abbott TDx,AxSYM®及ARCHITECT®分析器(Abbott Laboratories,Abbott Park,Illinois)上之檢定所用、如文獻(參見例如Yatscoff等人,「Abbott TDx Monoclonal Antibody Assay Evaluated for Measuring Cyclosporine in Whole Blood」,Clin.Chem.,36:1969-1973(1990);及Wallemacq等人,「Evaluation of the New AxSYM Cyclosporine Assay:Comparison with TDx Monoclonal Whole Blood and EMIT Cyclosporine Assays」,Clin.Chem.,45:432-435(1999))中所述及/或如可購得,來使用該預處理。另外,可如Abbott之美國專利第5,135,875號、歐洲公開案第EP 0 471 293號、PCT公開案第WO 2008/082984號及美國公開案第2008/0020401號(其關於預處理之教示以全文引用的方式併入本文中)中所述進行預處理。預處理試劑可為非均質劑或均質劑。 The pretreatment reagent may be any reagent suitable for the immunoassay and kit of the present invention. Pre-treatment optionally includes: (a) one or more solvents (such as methanol and ethylene glycol) and optional salts, (b) one or more solvents and salts and optional detergents, (c) cleaning agents , Or (d) detergents and salts. Pretreatment reagents are known in the art and can be used, for example, in assays on Abbott TDx, AxSYM®, and ARCHITECT® analyzers (Abbott Laboratories, Abbott Park, Illinois), as in the literature (see, eg, Yatscoff et al., "Abbott TDx Monoclonal Antibody Assay Evaluated for Measuring Cyclosporine in Whole Blood", Clin.Chem. , 36: 1969-1973 (1990); and Wallemacq et al., "Evaluation of the New AxSYM Cyclosporine Assay: Comparison with TDx Monoclonal Whole Blood and EMIT Cyclosporine Assays ", Clin. Chem. , 45: 432-435 (1999)) and / or if commercially available, use this pretreatment. In addition, such as Abbott U.S. Patent No. 5,135,875, European Publication No. EP 0 471 293, PCT Publication No. WO 2008/082984, and U.S. Publication No. 2008/0020401 (the teachings on pretreatment are cited in their entirety) The methods described herein are incorporated herein). The pretreatment reagent may be a heterogeneous agent or a homogenizing agent.

關於使用非均質預處理試劑,預處理試劑使存在於樣本中之分析物結合蛋白(例如可結合於分析物或其片段之蛋白質)沈澱。該預處理步驟包含藉由使將預處理劑添加至樣本而形成之混合物之上清液與沈澱之分析物結合蛋白分離而將任何分析物結合蛋白移出。在該檢定中,不存在混合物之上清液之任何結合蛋白用於該檢定中,直接進行至抗體捕捉步驟。 Regarding the use of a heterogeneous pretreatment reagent, the pretreatment reagent precipitates an analyte-binding protein (such as a protein that can bind to an analyte or a fragment thereof) present in a sample. This pre-treatment step includes removing any analyte-binding protein by separating the supernatant of the mixture formed by adding the pre-treatment agent to the sample from the analyte-binding protein of Shendian. In this assay, any binding protein in the absence of the mixture supernatant is used in this assay, proceeding directly to the antibody capture step.

關於使用均質預處理試劑,不存在該分離步驟。使試樣及預處理試劑之整個混合物與分析物(或其片段)之經標記特異性結合搭配物接觸,該搭配物諸如經標記之抗分析物抗體(或其抗原反應性片段)。在 藉由第一特異性結合搭配物捕捉之前或期間,該檢定所採用之預處理試劑通常稀釋於預處理試樣混合物中。儘管進行該稀釋,但在捕捉期間一定量之預處理試劑仍存在(或保留)於試樣混合物中。根據本發明,例示性經標記特異性結合搭配物可為DVD-Ig(或其片段、變異體或變異體之片段)。 Regarding the use of homogeneous pretreatment reagents, this separation step does not exist. The entire mixture of sample and pretreatment reagent is contacted with a labeled specific binding partner of an analyte (or a fragment thereof), such as a labeled anti-analyte antibody (or an antigen-reactive fragment thereof). in Before or during capture by the first specific binding partner, the pretreatment reagents used in this assay are usually diluted in the pretreatment sample mixture. Despite this dilution, a certain amount of pretreatment reagent was still present (or retained) in the sample mixture during capture. According to the present invention, an exemplary labeled specific binding partner may be DVD-Ig (or a fragment, variant, or fragment of a variant thereof).

在非均質形式中,在自個體獲得試樣之後,製備第一混合物。該混合物含有對於分析物(或其片段)進行評估之試樣及第一特異性結合搭配物,其中第一特異性結合搭配物及含於試樣中之任何分析物形成第一特異性結合搭配物-分析物複合物。較佳地,第一特異性結合搭配物為抗分析物抗體或其片段。第一特異性結合搭配物可為如本文所述之DVD-Ig(或其片段、變異體或變異體之片段)。添加試樣及第一特異性結合搭配物以形成混合物之順序並非關鍵性的。較佳地,將第一特異性結合搭配物固定於固相上。用於免疫檢定中(對於第一特異性結合搭配物及視情況選用之第二特異性結合搭配物)之固相可為在此項技術中已知之任何固相,諸如(但不限於)磁性粒子、珠粒、試管、微量滴定盤、比色管、膜、支架分子、薄膜、濾紙、盤片及晶片。 In a heterogeneous form, a first mixture is prepared after a sample is obtained from the individual. The mixture contains a sample for evaluating the analyte (or a fragment thereof) and a first specific binding partner, wherein the first specific binding partner and any analyte contained in the sample form the first specific binding partner Analyte-analyte complex. Preferably, the first specific binding partner is an anti-analyte antibody or a fragment thereof. The first specific binding partner may be DVD-Ig (or a fragment, variant, or fragment of a variant thereof) as described herein. The order in which the sample and the first specific binding partner are added to form the mixture is not critical. Preferably, the first specific binding partner is immobilized on a solid phase. The solid phase used in the immunoassay (for the first specific binding partner and optionally the second specific binding partner) may be any solid phase known in the art, such as (but not limited to) magnetic Particles, beads, test tubes, microtiter disks, colorimetric tubes, membranes, scaffold molecules, films, filter paper, discs and wafers.

在形成含有第一特異性結合搭配物-分析物複合物之混合物之後,使用在此項技術中已知之任何技術自複合物移除任何未經結合之分析物。舉例而言,未經結合之分析物可藉由洗滌移除。然而,理想地,第一特異性結合搭配物以超過試樣中所存在之任何分析物之量存在,以使得存在於試樣中之所有分析物由第一特異性結合搭配物結合。 After forming a mixture containing the first specific binding partner-analyte complex, any unbound analyte is removed from the complex using any technique known in the art. For example, unbound analytes can be removed by washing. However, ideally, the first specific binding partner is present in an amount exceeding any analyte present in the sample such that all analytes present in the sample are bound by the first specific binding partner.

在移除任何未經結合之分析物之後,將第二特異性結合搭配物添加至混合物以形成第一特異性結合搭配物-分析物-第二特異性結合搭配物複合物。第二特異性結合搭配物較佳地為抗分析物抗體,其結合於分析物上之抗原決定基,該抗原決定基不同於分析物上由第一特異 性結合搭配物結合之抗原決定基。另外,亦較佳地,第二特異性結合搭配物經如上所述之可偵測標記來標記或含有該可偵測標記。第二特異性結合搭配物可為如本文所述之DVD-Ig(或其片段、變異體或變異體之片段)。 After removing any unbound analytes, a second specific binding partner is added to the mixture to form a first specific binding partner-analyte-second specific binding partner complex. The second specific binding partner is preferably an anti-analyte antibody, which binds to an epitope on the analyte, which epitope is different from the first specificity on the analyte An epitope bound by a sexual binding partner. In addition, it is also preferred that the second specific binding partner is labeled with or contains the detectable label as described above. The second specific binding partner may be DVD-Ig (or a fragment, variant, or fragment of a variant thereof) as described herein.

可使用如在此項技術中已知之任何適合可偵測標記。舉例而言,可偵測標記可為放射性標記(諸如3H、125I、35S、14C、32P及33P)、酶標記(諸如辣根過氧化酶、鹼性過氧化酶、葡萄糖6-磷酸去氫酶及其類似物)、化學發光標記(諸如吖錠酯、硫酯或磺醯胺;魯米諾、異魯米諾(isoluminol)、啡錠酯(phenanthridinium ester)及其類似物)、螢光標記(諸如螢光素(例如5-螢光素、6-羧基螢光素、3'6-羧基螢光素、5(6)-羧基螢光素、6-六氯-螢光素、6-四氯螢光素、異硫氰酸螢光素及其類似物))、若丹明、藻膽蛋白(phycobiliprotein)、R-藻紅素、量子點(例如硫化鋅封蓋之硒化鎘)、測溫標記或免疫聚合酶鏈反應標記。標記、標記程序及標記偵測的緒論見於Polak及Van Noorden,Introduction to Immunocytochemistry,第2版,Springer Verlag,N.Y.(1997),及Haugland,Handbook of Fluorescent Probes and Research Chemicals(1996)(其為由Molecular Probes,Inc.,Eugene,Oregon出版之組合手冊及目錄)中。螢光標記可用於FPIA中(參見例如美國專利第5,593,896號、第5,573,904號、第5,496,925號、第5,359,093號及第5,352,803號)。吖錠化合物可在均質或非均質化學發光檢定中用作可偵測標記(參見例如Adamczyk等人,Bioorg.Med.Chem.Lett.,16:1324-1328(2006);Adamczyk等人,Bioorg.Med.Chem.Lett.,14:2313-2317(2004);Adamczyk等人,Biorg.Med.Chem.Lett.,14:3917-3921(2004);及Adamczyk等人,Org.Lett.,5:3779-3782(2003))。 Any suitable detectable label as known in the art may be used. For example, detectable labels can be radioactive labels (such as 3 H, 125 I, 35 S, 14 C, 32 P, and 33 P), enzyme labels (such as horseradish peroxidase, alkaline peroxidase, glucose 6-phosphate dehydrogenase and its analogs), chemiluminescence labels (such as acridyl esters, thioesters, or sulfonamides; luminol, isoluminol, phenanthridinium esters, and the like Substances), fluorescent labels (such as luciferin (e.g. 5-luciferin, 6-carboxyfluorescein, 3'6-carboxyfluorescein, 5 (6) -carboxyfluorescein, 6-hexachloro- Luciferin, 6-tetrachlorofluorescein, fluorescein isothiocyanate and the like)), rhodamine, phycobiliprotein, R-phycoerythrin, quantum dots (e.g. zinc sulfide seals Covered with cadmium selenide), temperature-measuring markers, or immune polymerase chain reaction markers. An introduction to labeling, labeling procedures, and label detection can be found in Polak and Van Noorden, Introduction to Immunocytochemistry , 2nd Edition, Springer Verlag, NY (1997), and Haugland, Handbook of Fluorescent Probes and Research Chemicals (1996) (which is written by Molecular Probes, Inc., Eugene, Oregon combined manuals and catalogs). Fluorescent labels can be used in FPIA (see, for example, U.S. Patent Nos. 5,593,896, 5,573,904, 5,496,925, 5,359,093, and 5,352,803). Acridine compounds can be used as detectable labels in homogeneous or heterogeneous chemiluminescence assays (see, eg, Adamczyk et al., Bioorg. Med. Chem. Lett. , 16: 1324-1328 (2006); Adamczyk et al., Bioorg. Med. Chem. Lett. , 14: 2313-2317 (2004); Adamczyk et al., Biorg. Med. Chem. Lett. , 14: 3917-3921 (2004); and Adamczyk et al., Org. Lett. , 5: 3779-3782 (2003)).

例示性吖錠化合物為吖錠-9-甲醯胺。製備吖錠9-甲醯胺之方法描述於Mattingly,J.Biolumin.Chemilumin.,6:107-114(1991); Adamczyk等人,J.Org.Chem.,63:5636-5639(1998);Adamczyk等人,Tetrahedron,55:10899-10914(1999);Adamczyk等人,Org.Lett.,1:779-781(1999);Adamczyk等人,Bioconjugate Chem.,11:714-724(2000);Adamczyk及Mattingly,Luminescence Biotechnology:Instruments and Applications;(Dyke,K.V.編)(CRC Press:Boca Raton,2002)第77-105頁;Adamczyk等人,Org.Lett.,5:3779-3782(2003);及美國專利第5,468,646號、第5,543,524號及第5,783,699號中。另一較佳吖錠化合物為吖錠-9-甲酸酯芳酯。吖錠-9-甲酸酯芳酯之實例為10-甲基-9-(苯氧基羰基)吖錠氟磺酸酯(可購自Cayman Chemical,Ann Arbor,Michigan)。製備吖錠9-甲酸酯芳酯之方法描述於McCapra等人,Photochem.Photobiol.,4:1111-21(1965);Razavi等人,Luminescence,15:245-249(2000);Razavi等人,Luminescence,15:239-244(2000);及美國專利第5,241,070號中。關於吖錠-9-甲酸酯芳酯及其使用之更多詳情闡述於美國公開案第2008/0248493號中。 An exemplary azridine compound is azrid-9-9 formamidine. The method for preparing acrid 9-formamidine is described in Mattingly, J. Biolumin. Chemilumin. , 6: 107-114 (1991); Adamczyk et al., J. Org. Chem. , 63: 5636-5639 (1998); Adamczyk et al., Tetrahedron , 55: 10899-10914 (1999); Adamczyk et al., Org. Lett. , 1: 779-781 (1999); Adamczyk et al., Bioconjugate Chem. , 11: 714-724 (2000); Adamczyk and Mattingly, Luminescence Biotechnology: Instruments and Applications ; (Dyke, KV) (CRC Press: Boca Raton, 2002) pp. 77-105; Adamczyk et al., Org. Lett. , 5: 3779-3782 (2003); And U.S. Patent Nos. 5,468,646, 5,543,524, and 5,783,699. Another preferred azine compound is azine-9-formate aryl ester. An example of an azine-9-formate aryl ester is 10-methyl-9- (phenoxycarbonyl) azine fluorosulfonate (commercially available from Cayman Chemical, Ann Arbor, Michigan). Methods for the preparation of acridine 9-formate aryl esters are described in McCarra et al., Photochem. Photobiol. , 4: 1111-21 (1965); Razavi et al., Luminescence , 15: 245-249 (2000); Razavi et al. Luminescence , 15: 239-244 (2000); and U.S. Patent No. 5,241,070. More details about acridine-9-formate aryl ester and its use are set forth in US Publication No. 2008/0248493.

化學發光檢定(例如使用如上所述之吖錠或其他化學發光劑)可根據Adamczyk等人,Anal.Chim.Acta,579(1):61-67(2006)中描述之方法來執行。雖然可使用任何適合檢定形式,但是微板化學發光計(Mithras LB-940,Berthold Technologies U.S.A.,LLC,Oak Ridge,Tennessee)使得可迅速檢定小體積之多個樣本。 Chemiluminescence assays (e.g., using acridine or other chemiluminescent agents as described above) can be performed according to the method described in Adamczyk et al., Anal . Chim . Acta , 579 (1): 61-67 (2006). Although any suitable assay format can be used, a microplate chemiluminometer (Mithras LB-940, Berthold Technologies USA, LLC, Oak Ridge, Tennessee) makes it possible to quickly verify multiple samples in small volumes.

添加試樣及特異性結合搭配物以形成化學發光檢定之混合物之順序並非關鍵性的。若第一特異性結合搭配物以化學發光劑(諸如吖錠化合物)可偵測地標記,則形成經可偵測標記之第一特異性結合搭配物-分析物複合物。或者,若使用第二特異性結合搭配物且第二特異性結合搭配物以化學發光劑(諸如吖錠化合物)可偵測地標記,則形成經可偵測標記之第一特異性結合搭配物-分析物-第二特異性結合搭配物複合物。任何未經結合之特異性結合搭配物(無論標記或未標記)可 使用在此項技術中已知之任何技術(諸如洗滌)自混合物移除。 The order in which samples and specific binding partners are added to form a chemiluminescence assay mixture is not critical. If the first specific binding partner is detectably labeled with a chemiluminescent agent, such as an acridine compound, a detectably labeled first specific binding partner-analyte complex is formed. Alternatively, if a second specific binding partner is used and the second specific binding partner is detectably labeled with a chemiluminescent agent (such as an acridine compound), a detectably labeled first specific binding partner is formed -Analyte-Second specific binding partner complex. Any unbound specific binding partner (whether labeled or unlabeled) It is removed from the mixture using any technique known in the art, such as washing.

在添加上述吖錠化合物之前、同時或之後,可現場在混合物中產生過氧化氫或可向混合物中提供或供應過氧化氫(例如,過氧化氫之來源為一或多種已知含有過氧化氫之緩衝液或其他溶液)。過氧化氫可以多種方式(諸如為熟習此項技術者所顯而易見之方式)現場產生。 Before, at the same time, or after the addition of the acridine compound described above, hydrogen peroxide may be generated in the mixture on site or hydrogen peroxide may be supplied or supplied to the mixture (e.g., the source of hydrogen peroxide is one or more known hydrogen peroxide-containing sources). Buffer or other solution). Hydrogen peroxide can be generated on-site in a variety of ways, such as those apparent to those skilled in the art.

在向樣本中添加至少一種鹼性溶液同時或之後,產生指示分析物之存在之可偵測信號,亦即化學發光信號。鹼性溶液含有至少一種鹼且具有大於或等於10、較佳地大於或等於12之pH值。鹼性溶液之實例包括(但不限於)氫氧化鈉、氫氧化鉀、氫氧化鈣、氫氧化銨、氫氧化鎂、碳酸鈉、碳酸氫鈉、氫氧化鈣、碳酸鈣及碳酸氫鈣。添加至樣本之鹼性溶液之量視鹼性溶液之濃度而定。基於所用鹼性溶液之濃度,熟習此項技術者可容易地測定添加至樣本之鹼性溶液之量。 Simultaneously or after adding at least one alkaline solution to the sample, a detectable signal, ie, a chemiluminescence signal, is generated indicating the presence of the analyte. The alkaline solution contains at least one base and has a pH value of 10 or more, preferably 12 or more. Examples of the alkaline solution include, but are not limited to, sodium hydroxide, potassium hydroxide, calcium hydroxide, ammonium hydroxide, magnesium hydroxide, sodium carbonate, sodium bicarbonate, calcium hydroxide, calcium carbonate, and calcium bicarbonate. The amount of alkaline solution added to the sample depends on the concentration of the alkaline solution. Based on the concentration of the alkaline solution used, those skilled in the art can easily determine the amount of alkaline solution added to the sample.

產生之化學發光信號可使用熟習此項技術者已知之常規技術偵測。基於產生信號之強度,可定量樣本中之分析物之量。特定言之,樣本中之分析物之量與產生信號之強度成比例。存在之分析物之量可藉由將產生光之量與分析物之標準曲線比較或與參考標準相比來定量。可藉由質譜分析、重量分析方法及在此項技術中已知之其他技術使用分析物之連續稀釋或已知濃度之溶液來產生標準曲線。雖然以上描述著重於使用吖錠化合物作為化學發光劑,但是一般技術者可容易地將此描述調適以便使用其他化學發光劑。 The generated chemiluminescence signal can be detected using conventional techniques known to those skilled in the art. Based on the intensity of the generated signal, the amount of analyte in the sample can be quantified. In particular, the amount of analyte in the sample is proportional to the intensity of the signal produced. The amount of analyte present can be quantified by comparing the amount of light produced to a standard curve of the analyte or to a reference standard. Standard curves can be generated by mass dilution analysis, gravimetric methods, and other techniques known in the art using serial dilutions of the analyte or solutions of known concentrations. Although the above description has focused on the use of an acridine compound as a chemiluminescent agent, a person of ordinary skill can easily adapt this description to use other chemiluminescent agents.

分析物免疫檢定一般可使用在此項技術中已知之任何形式(諸如(但不限於)夾心形式)來進行。特定言之,在一免疫檢定形式中,使用至少兩種抗體以分離及定量樣本中之分析物,諸如人類分析物或其片段。更特定言之,至少兩種抗體結合於分析物(或其片段)上之不同抗原決定基,形成免疫複合物,其稱為「夾心」。一般而言,在免疫檢定中,一或多種抗體可用於捕捉試樣中之分析物(或其片段)(此等抗體 時常稱為「捕捉」抗體)且一或多種抗體可用於使可偵測(亦即可定量)標記結合於夾心(此等抗體時常稱為「偵測抗體」或「結合物」)。因此,在夾心免疫檢定形式之情形中,如本文所述之DVD-Ig(或其片段、變異體或變異體之片段)可用作捕捉抗體、偵測抗體或兩者。舉例而言,一種具有可結合分析物(或其片段)上之第一抗原決定基之域的DVD-Ig可用作捕捉抗體且/或具有可結合分析物(或其片段)上之第二抗原決定基之域的另一DVD-Ig可用作偵測抗體。在此方面,具有可結合分析物(或其片段)上之第一抗原決定基之第一域及可結合分析物(或其片段)上之第二抗原決定基之第二域的DVD-Ig可用作捕捉抗體及/或偵測抗體。或者,一種具有可結合第一分析物(或其片段)上之抗原決定基之第一域及可結合第二分析物(或其片段)上之抗原決定基之第二域的DVD-Ig可用作捕捉抗體及/或偵測抗體以偵測且視情況定量兩種或兩種以上分析物。若分析物可以一種以上形式(諸如單體形式及二聚體/多聚體形式(其可為均聚或異聚形式))存在於樣本中,則具有可結合僅暴露於單體形式上之抗原決定基之域的一DVD-Ig及具有可結合二聚體/多聚體形式之不同部分上之抗原決定基之域的另一DVD-Ig可用作捕捉抗體及/或偵測抗體,由此使得能夠偵測且視情況定量不同形式之既定分析物。此外,採用具有單一DVD-Ig內及/或DVD-Ig之間之差異親和力的DVD-Ig可提供親合力優勢。在如本文所述之免疫檢定之情形中,將一或多個連接子併入DVD-Ig結構內一般可為有用的或需要的。當存在連接子時,最佳地,連接子應具有足夠長度及結構撓性以使得可藉由內域結合抗原決定基以及藉由外域結合另一抗原決定基。在此方面,若DVD-Ig可結合兩種不同分析物且一種分析物大於另一種,則理想地較大分析物由外域結合。 Analyte immunoassays can generally be performed using any format known in the art, such as, but not limited to, a sandwich format. In particular, in an immunoassay format, at least two antibodies are used to isolate and quantify analytes in a sample, such as human analytes or fragments thereof. More specifically, at least two antibodies bind to different epitopes on an analyte (or a fragment thereof) to form an immune complex, which is called a "sandwich". Generally, in immunoassays, one or more antibodies can be used to capture analytes (or fragments thereof) in a sample (these antibodies (Often referred to as "capture" antibodies) and one or more antibodies can be used to bind a detectable (i.e., quantitative) label to the sandwich (these antibodies are often referred to as "detection antibodies" or "conjugates"). Therefore, in the case of a sandwich immunoassay format, DVD-Ig (or a fragment, variant, or fragment thereof) as described herein can be used as a capture antibody, a detection antibody, or both. For example, a DVD-Ig with a first epitope domain on a bindable analyte (or a fragment thereof) can be used as a capture antibody and / or a second Another DVD-Ig of the epitope domain can be used as a detection antibody. In this regard, a DVD-Ig having a first domain that can bind a first epitope on an analyte (or a fragment thereof) and a second domain that can bind a second epitope on an analyte (or a fragment thereof) Can be used as a capture antibody and / or a detection antibody. Alternatively, a DVD-Ig having a first domain that can bind an epitope on a first analyte (or a fragment thereof) and a second domain that can bind an epitope on a second analyte (or a fragment thereof) can Used as capture antibodies and / or detection antibodies to detect and optionally quantify two or more analytes. If the analyte can be present in the sample in more than one form, such as monomeric and dimeric / multimeric (which can be homo- or hetero-meric), it has a One DVD-Ig of an epitope domain and another DVD-Ig having an epitope domain that can bind to a different part of a dimer / multimer form can be used as a capture antibody and / or a detection antibody, This makes it possible to detect and quantify different forms of a given analyte. In addition, the use of a DVD-Ig with differential affinities within a single DVD-Ig and / or between DVD-Ig can provide an affinity advantage. In the context of an immunoassay as described herein, it may generally be useful or desirable to incorporate one or more linkers into a DVD-Ig structure. When a linker is present, optimally, the linker should be of sufficient length and structural flexibility so that an epitope can be bound by the inner domain and another epitope can be bound by the outer domain. In this regard, if the DVD-Ig can bind two different analytes and one analyte is larger than the other, then the larger analyte is ideally bound by the outer domain.

一般而言,可使測試(例如疑似含有)IL-1β蛋白(或其片段)之樣本與至少一種捕捉抗體及至少一種偵測抗體(其可為第二偵測抗體或第 三偵測抗體或甚至連續編號之抗體,例如如在捕捉及/或偵測抗體包含多種抗體的情況下)同時或依序且以任何順序接觸。舉例而言,試樣可首先與至少一種捕捉抗體接觸且隨後(依序)與至少一種偵測抗體接觸。或者,試樣可首先與至少一種偵測抗體接觸且隨後(依序)與至少一種捕捉抗體接觸。在另一替代方案中,試樣可同時與捕捉抗體及偵測抗體接觸。 In general, a sample that tests (e.g., suspected of containing) an IL-1β protein (or a fragment thereof) and at least one capture antibody and at least one detection antibody (which may be a second detection antibody or a first detection antibody) Three detection antibodies or even consecutively numbered antibodies, such as if the capture and / or detection antibodies comprise multiple antibodies) are contacted simultaneously or sequentially and in any order. For example, a sample may be contacted first with at least one capture antibody and then (sequentially) with at least one detection antibody. Alternatively, the sample may be contacted first with at least one detection antibody and then (sequentially) with at least one capture antibody. In another alternative, the sample may be contacted with both the capture antibody and the detection antibody at the same time.

在夾心檢定形式中,在允許形成第一結合蛋白/IL-1β複合物之條件下使疑似含有IL-1β(或其片段)之樣本首先與至少一種第一捕捉結合蛋白(例如IL-1β抗體)接觸。若使用一種以上捕捉結合蛋白,則形成包含兩種或兩種以上捕捉結合蛋白之第一捕捉結合蛋白/IL-1β複合物。在夾心檢定中,結合蛋白(亦即較佳地至少一種捕捉結合蛋白)以試樣中預期之IL-1β分析物(或其片段)之最大量的莫耳過量量使用。舉例而言,可使用每mL緩衝液(例如微粒塗佈緩衝液)約5μg至約1mg之抗體。 In the sandwich assay format, a sample suspected of containing IL-1β (or a fragment thereof) is first contacted with at least one first capture binding protein (e.g., an IL-1β antibody) under conditions that allow the formation of a first binding protein / IL-1β complex. )contact. If more than one type of capture binding protein is used, a first capture binding protein / IL-1β complex including two or more types of capture binding proteins is formed. In the sandwich assay, the binding protein (ie, preferably at least one capture binding protein) is used in a molar excess of the maximum amount of the IL-1 β analyte (or fragment thereof) expected in the sample. For example, about 5 μg to about 1 mg of antibody per mL of buffer (eg, microparticle coating buffer) can be used.

因為需要僅藉由一種抗體之結合而通常用以量測較小分析物之競爭性抑制免疫檢定包含依序及典型形式。在依序競爭性抑制免疫檢定中,將IL-1β之捕捉結合蛋白塗佈於微量滴定盤之孔或其他固體支撐物上。當含有IL-1β之樣本添加至孔中時,IL-1β結合於捕捉結合蛋白。在洗滌後,將已知量之經標記(例如生物素或辣根過氧化酶(HRP))IL-1β添加至孔中。酶標記之受質為產生信號所必需。HRP之適合受質之實例為3,3',5,5'-四甲基聯苯胺(TMB)。在洗滌後,量測由經標記之分析物產生之信號且其與樣本中之IL-1β之量成反比。在典型競爭性抑制免疫檢定中,將IL-1β之結合蛋白塗佈於固體支撐物(例如微量滴定盤之孔)上。然而,不同於依序競爭性抑制免疫檢定,樣本及經標記之IL-1β係同時添加至孔中。樣本中之任何IL-1β與經標記之IL-1β競爭結合於捕捉結合蛋白。在洗滌後,量測由經標記之IL-1β 產生之信號且其與樣本中IL-1β之量成反比。 Competitive inhibitory immunoassays, which are typically used to measure smaller analytes because of the need to bind only one antibody, include sequential and typical forms. In the sequential competitive inhibition immunoassay, the capture binding protein of IL-1β is coated on the well of a microtiter plate or other solid support. When a sample containing IL-1β is added to the well, IL-1β binds to the capture binding protein. After washing, a known amount of labeled (eg, biotin or horseradish peroxidase (HRP)) IL-1 β is added to the wells. Enzyme-labeled substrates are necessary to generate signals. An example of a suitable substrate for HRP is 3,3 ', 5,5'-tetramethylbenzidine (TMB). After washing, the signal produced by the labeled analyte is measured and is inversely proportional to the amount of IL-1β in the sample. In a typical competitive immunosuppression assay, a binding protein of IL-1β is coated on a solid support (such as a well of a microtiter plate). However, unlike sequential competitive suppression immunoassays, samples and labeled IL-1β are added to the wells simultaneously. Any IL-1β in the sample competes with the labeled IL-1β for binding to a capture binding protein. After washing, measure the amount of IL-1β The signal produced is inversely proportional to the amount of IL-1β in the sample.

視情況,在使試樣與至少一種捕捉結合蛋白(例如第一捕捉抗體)接觸之前,至少一種捕捉結合蛋白可結合於固體支撐物,其有助於第一結合蛋白/IL-1β(或其片段)複合物自試樣中分離。捕捉結合蛋白所結合之受質可為有助於使捕捉抗體-分析物複合物自樣本中分離的任何適合固體支撐物或固相。 Optionally, before contacting the sample with at least one capture binding protein (e.g., a first capture antibody), the at least one capture binding protein may bind to a solid support, which helps the first binding protein / IL-1β (or Fragment) complex is separated from the sample. The substrate to which the capture binding protein binds can be any suitable solid support or solid phase that facilitates separation of the capture antibody-analyte complex from the sample.

實例包括盤(諸如微量滴定盤)之孔、試管、多孔凝膠(例如矽膠、瓊脂糖、聚葡萄糖或明膠)、聚合物薄膜(例如聚丙烯醯胺)、珠粒(例如聚苯乙烯珠粒或磁性珠粒)、濾紙/膜(例如硝化纖維素或耐綸)之條帶、微粒(例如膠乳粒子、可磁化微粒(例如具有氧化鐵或氧化鉻核心及均聚或異聚塗層及約1-10微米之半徑的微粒))。受質可包含具有結合抗原之適合表面親和力及允許偵測抗體到達之足夠孔隙率的適合多孔材料。雖然可使用水合狀態之凝膠材料,但是微孔材料一般較佳。該等多孔受質較佳呈厚度為約0.01mm至約0.5mm、較佳約0.1mm之薄片形式。雖然孔徑可相當大地變化,但是孔徑較佳為約0.025微米至約15微米,更佳約0.15微米至約15微米。該等受質之表面可藉由引起抗體與受質共價鍵結之化學過程而活化。一般由抗原或抗體與受質經由疏水性力產生吸附所引起的不可逆結合;或者,化學偶合劑或其他方式可用於使抗體與受質共價結合,其限制條件為該結合不會干擾抗體結合分析物之能力。或者,抗體可與微粒結合,該等微粒先前已用抗生蛋白鏈菌素(例如DYNAL® Magnetic Beads,Invitrogen,Carlsbad,California)或生物素(例如使用Power-BindTM-SA-MP抗生蛋白鏈菌素塗佈之微粒(Seradyn,Indianapolis,Indiana))或抗物種特異性單株抗體塗佈。必要時,可使受質衍生以允許與抗體上之各種官能基反應。該衍生作用需要使用某些偶合劑,其實例包括(但不限於)順丁烯二酸酐、N-羥基丁二醯亞胺及1-乙基-3-(3-二甲基胺基丙基)碳化二 亞胺。視需要可將各自對於分析物具有特異性的一或多種捕捉試劑(諸如抗體(或其片段))在不同物理或可定址位置連接至固相(例如以生物晶片組態(參見例如美國專利第6,225,047號;PCT公開案第WO 99/51773號;美國專利第6,329,209號;PCT公開案第WO 00/56934號及美國專利第5,242,828號))。若捕捉試劑連接至作為固體支撐物之質譜分析探針,則結合於探針之分析物之量可藉由雷射脫附離子化質譜分析來偵測。或者,單一管柱可以不同珠粒填充,該等珠粒係以該或該等捕捉試劑衍生,藉此將分析物捕捉於單一位置中(參見抗體衍生、基於珠粒之技術,例如Luminex(Austin,Texas)之xMAP技術)。 Examples include the wells of a plate (such as a microtiter plate), test tubes, porous gels (e.g., silicone, agarose, polydextrose, or gelatin), polymer films (e.g., polypropylene amidamine), beads (e.g., polystyrene beads) Or magnetic beads), strips of filter paper / membrane (e.g. nitrocellulose or nylon), particles (e.g. latex particles, magnetizable particles (e.g. with iron oxide or chromium oxide core and homo- or hetero-polymer coatings and 1-10 micron radius particles)). The substrate may comprise a suitable porous material with a suitable surface affinity for binding the antigen and a sufficient porosity to allow detection antibodies to reach. Although hydrated gel materials can be used, microporous materials are generally preferred. The porous substrates are preferably in the form of a sheet having a thickness of about 0.01 mm to about 0.5 mm, and preferably about 0.1 mm. Although the pore size can vary considerably, the pore size is preferably from about 0.025 microns to about 15 microns, and more preferably from about 0.15 microns to about 15 microns. These substrates can be activated by a chemical process that causes the antibody to covalently bond with the substrate. Generally, irreversible binding caused by the adsorption of an antigen or an antibody to a substrate through a hydrophobic force; or, chemical coupling agents or other methods can be used to covalently bind the antibody to the substrate, the limitation is that the binding will not interfere with the antibody binding Analyte capabilities. Alternatively, the antibodies can be bound to microparticles that have been previously treated with streptavidin (e.g. DYNAL® Magnetic Beads, Invitrogen, Carlsbad, California) or biotin (e.g. using Power-BindTM-SA-MP streptavidin Coated particles (Seradyn, Indianapolis, Indiana) or anti-species-specific monoclonal antibodies. If necessary, the substrate may be derivatized to allow reaction with various functional groups on the antibody. This derivatization requires the use of certain coupling agents, examples of which include, but are not limited to, maleic anhydride, N-hydroxysuccinimide, and 1-ethyl-3- (3-dimethylaminopropyl Carbonization II Imine. If desired, one or more capture reagents (such as antibodies (or fragments thereof)) each specific to the analyte can be attached to the solid phase at different physical or addressable locations (e.g., configured in a biochip (see, e.g., U.S. Patent No. No. 6,225,047; PCT Publication No. WO 99/51773; US Patent No. 6,329,209; PCT Publication No. WO 00/56934 and US Patent No. 5,242,828)). If the capture reagent is attached to a mass spectrometry probe as a solid support, the amount of analyte bound to the probe can be detected by laser desorption ionization mass spectrometry. Alternatively, a single column may be packed with different beads that are derived from the capture reagent or capture reagents, thereby capturing the analyte in a single location (see antibody-derived, bead-based technologies such as Luminex (Austin , Texas) xMAP technology).

在將待檢定分析物(或其片段)之試樣與至少一種捕捉抗體(例如第一捕捉抗體)接觸之後,培育混合物以允許形成第一抗體(或多個抗體)-分析物(或其片段)複合物。培育可在約4.5至約10.0之pH值下、在約2℃至約45℃之溫度下,且持續至少約1分鐘至約18小時、較佳約1分鐘至約24分鐘、最佳約4分鐘至約18分鐘之時段而執行。本文所述之免疫檢定可以一個步驟(意謂試樣、至少一種捕捉抗體及至少一種偵測抗體全部依序或同時添加至反應容器中)或以一個以上步驟(諸如兩個步驟、三個步驟等)進行。 After contacting a sample of the analyte (or fragment thereof) to be assayed with at least one capture antibody (e.g., a first capture antibody), the mixture is incubated to allow the formation of a first antibody (or multiple antibodies) -analyte (or a fragment thereof). )Complex. Incubation can be at a pH of about 4.5 to about 10.0, at a temperature of about 2 ° C to about 45 ° C, and for at least about 1 minute to about 18 hours, preferably about 1 minute to about 24 minutes, and most preferably about 4 minutes. Minutes to approximately 18 minutes. The immunoassay described herein can be performed in one step (meaning that the sample, at least one capture antibody, and at least one detection antibody are all added to the reaction container sequentially or simultaneously) or in more than one step (such as two steps, three steps Etc.).

在形成(第一或多種)捕捉抗體/分析物(或其片段)複合物之後,隨後使該複合物在允許形成(第一或多種)捕捉抗體/分析物(或其片段)/第二偵測抗體複合物之條件下與至少一種偵測抗體接觸。雖然出於清晰目的而說明為「第二」抗體(例如第二偵測抗體),但實際上在多個抗體用於捕捉及/或偵測的情況下,至少一種偵測抗體可為用於免疫檢定中之第二抗體、第三抗體、第四抗體等。若捕捉抗體/分析物(或其片段)複合物與一種以上偵測抗體接觸,則形成(第一或多種)捕捉抗體/分析物(或其片段)/(多種)偵測抗體複合物。如同捕捉抗體(例如第一捕捉抗體)一樣,當至少一種(例如第二及任何隨後)偵測抗體與捕捉抗 體/分析物(或其片段)複合物接觸時,需要在與上述條件相似之條件下培育的時期以形成(第一或多種)捕捉抗體/分析物(或其片段)/(第二或多種)偵測抗體複合物。較佳地,至少一種偵測抗體含有可偵測之標記。可偵測之標記可在形成(第一或多種)捕捉抗體/分析物(或其片段)/(第二或多種)偵測抗體複合物之前、同時或之後結合於至少一種偵測抗體(例如第二偵測抗體)。可使用在此項技術中已知之任何可偵測之標記(參見上文論述,包括Polak及Van Noorden(1997)及Haugland(1996)參考文獻)。 After the (first or more) capture antibody / analyte (or fragment thereof) complex is formed, the complex is subsequently allowed to form (first or more) capture antibody / analyte (or fragment thereof) / second detection The test antibody complex is contacted with at least one detection antibody. Although described as a "secondary" antibody (for example, a second detection antibody) for clarity, in practice where multiple antibodies are used for capture and / or detection, at least one detection antibody may be used for The second, third, and fourth antibodies in the immunoassay. If the capture antibody / analyte (or fragment thereof) complex comes into contact with more than one detection antibody, a (first or more) capture antibody / analyte (or fragment thereof) / (multiple) detection antibody complex is formed. As with the capture antibody (e.g., the first capture antibody), when at least one (e.g., the second and any subsequent) detection antibody and capture antibody When the body / analyte (or fragment thereof) complex is contacted, a period of incubation under conditions similar to those described above is required to form (first or more) capture antibodies / analyte (or fragment thereof) / (second or more) ) Detection of antibody complexes. Preferably, at least one detection antibody contains a detectable label. A detectable label can be bound to at least one detection antibody (e.g., one, or more) of a capture antibody / analyte (or fragment thereof) / (second or more) detection antibody complex (e.g., Secondary detection antibody). Any detectable marker known in the art can be used (see discussion above, including Polak and Van Noorden (1997) and Haugland (1996) references).

可偵測之標記可直接或經由偶合劑結合於抗體。可使用之偶合劑之實例為EDAC(1-乙基-3-(3-二甲基胺基丙基)碳化二亞胺鹽酸鹽),其可購自Sigma-Aldrich,St.Louis,Missouri。可使用之其他偶合劑在此項技術中為已知的。使可偵測標記結合於抗體之方法在此項技術中為已知的。另外,可購得或合成已含有有助於可偵測標記與抗體偶合之端基的許多可偵測標記,諸如CPSP-吖錠酯(亦即9-[N-甲苯磺醯基-N-(3-羧基丙基)]-10-(3-磺丙基)吖錠甲醯胺)或SPSP-吖錠酯(亦即N10-(3-磺丙基)-N-(3-磺丙基)-吖錠-9-甲醯胺)。 The detectable label can be bound to the antibody directly or via a coupling agent. An example of a coupling agent that can be used is EDAC (1-ethyl-3- (3-dimethylaminopropyl) carbodiimide hydrochloride), which is commercially available from Sigma-Aldrich, St. Louis, Missouri . Other coupling agents that can be used are known in the art. Methods for binding detectable labels to antibodies are known in the art. In addition, many detectable labels, such as CPSP-azolidyl esters (i.e., 9- [N-tosylsulfonyl-N- (3-carboxypropyl)]-10- (3-sulfopropyl) acridine formamide) or SPSP-acridine ester (i.e.N10- (3-sulfopropyl) -N- (3-sulfopropyl) ) -Acridine-9-formamide).

(第一或多種)捕捉抗體/分析物/(第二或多種)偵測抗體複合物可(但不必)在定量標記之前與試樣之其餘部分分離。舉例而言,若至少一種捕捉抗體(例如第一捕捉抗體)結合於固體支撐物(諸如孔或珠粒),則可藉由移除(試樣之)流體以免與固體支撐物接觸來實現分離。或者,若至少第一捕捉抗體結合於固體支撐物,則其可同時與含有分析物之樣本及至少一種第二偵測抗體接觸以形成第一(多種)抗體/分析物/第二(多種)抗體複合物,接著移除流體(試樣)以免與固體支撐物接觸。若至少一種第一捕捉抗體不結合於固體支撐物,則(第一或多種)捕捉抗體/分析物/(第二或多種)偵測抗體複合物不必自試樣移除以定量標記之量。 The (first or more) capture antibody / analyte / (second or more) detection antibody complex can, but need not, be separated from the rest of the sample before quantitative labeling. For example, if at least one capture antibody (e.g., the first capture antibody) is bound to a solid support (such as a well or a bead), separation can be achieved by removing the (sample) fluid from contact with the solid support . Alternatively, if at least the first capture antibody is bound to a solid support, it can be simultaneously contacted with a sample containing the analyte and at least one second detection antibody to form a first (multiple) antibody / analyte / second (multiple) Antibody complex, and then remove the fluid (sample) to avoid contact with the solid support. If at least one first capture antibody does not bind to a solid support, the (first or more) capture antibody / analyte / (second or more) detection antibody complex need not be removed from the sample to quantify the labeled amount.

在形成經標記之捕捉抗體/分析物/偵測抗體複合物(例如第一捕捉抗體/分析物/第二偵測抗體複合物)之後,使用在此項技術中已知之技術來定量複合物中標記之量。舉例而言,若使用酶標記,則使經標記之複合物與標記之受質反應,產生諸如顯色之可定量反應。若標記為放射性標記,則使用適當方式(諸如閃爍計數器)定量標記。若標記為螢光標記,則藉由以一種顏色之光(其稱為「激發波長」)刺激標記且偵測該標記回應於該刺激而發射之另一顏色(其稱為「發射波長」)來定量標記。若標記為化學發光標記,則藉由目視或藉由使用光度計、X射線膠片、高速照相膠片、CCD相機等偵測發光來定量標記。一旦已定量複合物中標記之量,則藉由適當方式測定試樣中之分析物或其片段之濃度,諸如藉由使用已使用已知濃度之分析物或其片段的連續稀釋物產生之標準曲線。除使用分析物或其片段之連續稀釋物以外,可以重量分析方式、藉由質譜分析及藉由在此項技術中已知之其他技術來產生標準曲線。 After forming a labeled capture antibody / analyte / detection antibody complex (e.g., a first capture antibody / analyte / second detection antibody complex), the complex is quantified using techniques known in the art The amount of the mark. For example, if an enzyme label is used, the labeled complex is reacted with the labeled substrate to produce a quantifiable reaction such as color development. If the label is radioactive, the label is quantified using an appropriate means, such as a scintillation counter. If the marker is a fluorescent marker, it stimulates the marker with one color of light (called the "excitation wavelength") and detects another color that the marker emits in response to the stimulus (called the "emission wavelength") To quantify the mark. If the label is a chemiluminescent label, the label is quantified by visual inspection or by detecting luminescence using a photometer, X-ray film, high-speed photographic film, CCD camera, or the like. Once the amount of labeling in the complex has been quantified, the concentration of the analyte or fragment thereof in the sample is determined by an appropriate method, such as by using a standard produced by serial dilutions of the analyte or fragment thereof of known concentration curve. In addition to using serial dilutions of the analyte or fragment thereof, standard curves can be generated gravimetrically, by mass spectrometry, and by other techniques known in the art.

在採用ARCHITECT®分析器之化學發光微粒檢定中,結合物稀釋劑pH值應為約6.0 +/- 0.2,微粒塗佈緩衝液應維持在大約室溫(亦即約17℃至約27℃),微粒塗佈緩衝液pH值應為約6.5 +/- 0.2,且微粒稀釋劑pH值應為約7.8 +/- 0.2。固體較佳少於約0.2%、諸如少於約0.15%、少於約0.14%、少於約0.13%、少於約0.12%或少於約0.11%,諸如約0.10%。 In the chemiluminescence particle assay using an ARCHITECT® analyzer, the pH of the conjugate diluent should be approximately 6.0 +/- 0.2, and the particle coating buffer should be maintained at approximately room temperature (ie, approximately 17 ° C to approximately 27 ° C). The pH of the microparticle coating buffer should be about 6.5 +/- 0.2, and the pH of the microparticle diluent should be about 7.8 +/- 0.2. The solids are preferably less than about 0.2%, such as less than about 0.15%, less than about 0.14%, less than about 0.13%, less than about 0.12%, or less than about 0.11%, such as about 0.10%.

FPIA係基於競爭性結合免疫檢定原理。當藉由線性偏振光激發螢光標記化合物時,螢光標記化合物將發射具有與其旋轉速率成反比之偏振度的螢光。當螢光標記之示蹤物-抗體複合物藉由線性偏振光激發時,因為螢光團在吸收光之時間與發射光之時間之間的旋轉受到限制,所以發射光仍高度偏振。當「游離」示蹤化合物(亦即不結合於抗體之化合物)藉由線性偏振光激發時,其旋轉比在競爭性結合免 疫檢定中產生之相應示蹤物-抗體結合物快得多。由於不存在需要特殊處理及處置之放射性物質,因此FPIA比RIA有利。另外,FPIA為可容易且迅速執行之均質檢定。 FPIA is based on the principle of competitive combined immunoassay. When a fluorescently labeled compound is excited by linearly polarized light, the fluorescently labeled compound will emit fluorescent light having a degree of polarization that is inversely proportional to its rotation rate. When the fluorescently labeled tracer-antibody complex is excited by linearly polarized light, the emitted light is still highly polarized because the rotation of the fluorophore between the time of absorbing light and the time of emitting light is limited. When a "free" tracer compound (i.e., a compound that does not bind to an antibody) is excited by linearly polarized light, its rotation ratio is less than that of competitive binding. Corresponding tracer-antibody conjugates produced during the immunization test are much faster. Because there is no radioactive material that requires special handling and disposal, FPIA is more advantageous than RIA. In addition, FPIA is a homogeneous test that can be performed easily and quickly.

鑒於上述,提供測定試樣中之分析物(或其片段)之存在、量或濃度的方法。該方法包含藉由以下檢定來檢定試樣之分析物(或其片段):(i)採用(i')可結合於分析物之抗體、抗體片段、可結合於分析物之抗體變異體、可結合於分析物之抗體變異體之片段及可結合於分析物之DVD-Ig(或其片段、變異體或變異體片段)中之至少一者及(ii')至少一種可偵測標記,及(ii)包含將由可偵測標記產生的作為試樣中之分析物(或其片段)之存在、量或濃度的直接或間接指示之信號與作為對照物或校正劑中之分析物(或其片段)之存在、量或濃度的直接或間接指示所產生之信號進行比較。校正劑視情況為一系列校正劑之一部分,其中每一校正劑根據分析物濃度而不同於其他校正劑。 In view of the above, a method for determining the presence, amount, or concentration of an analyte (or a fragment thereof) in a sample is provided. The method includes testing the analyte (or a fragment thereof) of the sample by: (i) using (i ') an antibody that can bind to the analyte, an antibody fragment, an antibody variant that can bind to the analyte, At least one of a fragment of an antibody variant that binds to the analyte and a DVD-Ig (or a fragment, variant or variant fragment thereof) that can bind to the analyte and (ii ') at least one detectable label, and (ii) a signal comprising a direct or indirect indication of the presence, amount, or concentration of an analyte (or a fragment thereof) in a sample generated by a detectable label and the analyte (or its Fragments) are compared for signals that are directly or indirectly indicative of the presence, amount or concentration. The calibrator is optionally part of a series of calibrators, where each calibrator is different from other calibrators based on the concentration of the analyte.

該方法可包含(i)使試樣與分析物(或其片段)之至少一種第一特異性結合搭配物接觸以便形成第一特異性結合搭配物/分析物(或其片段)複合物,該至少一種第一特異性結合搭配物選自由以下組成之群:可結合於分析物之抗體、抗體片段、可結合於分析物之抗體變異體、可結合於分析物之抗體變異體片段及可結合於分析物之DVD-Ig(或其片段、變異體或變異體片段),(ii)使第一特異性結合搭配物/分析物(或其片段)複合物與分析物(或其片段)之至少一種第二特異性結合搭配物接觸以便形成第一特異性結合搭配物/分析物(或其片段)/第二特異性結合搭配物複合物,該至少一種第二特異性結合搭配物選自由以下組成之群:可結合於分析物之經可偵測標記之抗分析物抗體、經可偵測標記之抗分析物抗體片段、可結合於分析物之經可偵測標記之抗分析物抗體變異體、可結合於分析物之經可偵測標記之抗分析物抗體變異體之片段及經可偵測標記之DVD-Ig(或其片段、變異體或變異體片 段),及(iii)藉由偵測或量測藉由在(ii)中形成之第一特異性結合搭配物/分析物(或其片段)/第二特異性結合搭配物複合物中的可偵測標記產生之信號來測定試樣中分析物之存在、量或濃度。分析物(或其片段)之至少一種第一特異性結合搭配物及/或分析物(或其片段)之至少一種第二特異性結合搭配物為如本文所述之DVD-Ig(或其片段、變異體或變異體片段)之方法可為較佳的。 The method may include (i) contacting a sample with at least one first specific binding partner of an analyte (or a fragment thereof) to form a first specific binding partner / analyte (or fragment thereof) complex, the The at least one first specific binding partner is selected from the group consisting of an antibody that can bind to the analyte, an antibody fragment, an antibody variant that can bind to the analyte, an antibody variant fragment that can bind to the analyte, and a binding agent In the DVD-Ig (or fragment, variant, or variant fragment thereof) of the analyte, (ii) the first specific binding partner / analyte (or fragment thereof) complex with the analyte (or fragment thereof) At least one second specific binding partner is contacted to form a first specific binding partner / analyte (or a fragment thereof) / second specific binding partner complex, the at least one second specific binding partner is selected from the group consisting of A group consisting of a detectably labeled anti-analyte antibody that can bind to an analyte, a detectably labeled anti-analyte antibody fragment, and a detectably labeled anti-analyte antibody that can bind to an analyte Variant, may By bonding to the analyte of detectable labeled fragments of the variants of the anti-analyte antibody and the detectable label via the DVD-Ig (or a fragment, variant or variant sheet Paragraph), and (iii) by detecting or measuring the first specific binding partner / analyte (or fragment thereof) / second specific binding partner complex formed in (ii) The signal generated by the label can be detected to determine the presence, amount or concentration of the analyte in the sample. At least one first specific binding partner of the analyte (or a fragment thereof) and / or at least one second specific binding partner of the analyte (or a fragment thereof) is a DVD-Ig (or a fragment thereof) as described herein , Variant, or variant fragment) method may be preferred.

或者,該方法可包含:使試樣與IL-1β分析物(或其片段)之至少一種第一特異性結合搭配物接觸,該至少一種第一特異性結合搭配物選自由以下組成之群:可結合於分析物之抗體、抗體片段、可結合於分析物之抗體變異體、可結合於分析物之抗體變異體片段及DVD-Ig(或其片段、變異體或變異體片段);及同時或依序、以任一順序使試樣與可與分析物(或其片段)競爭結合於至少一種第一特異性結合搭配物且選自由以下組成之群的至少一種第二特異性結合搭配物接觸:可結合於第一特異性結合搭配物之經可偵測標記之分析物、經可偵測標記之分析物片段、可結合於第一特異性結合搭配物之經可偵測標記之分析物變異體,及可結合於第一特異性結合搭配物之經可偵測標記之分析物變異體之片段。存在於試樣中之任何IL-1β(或其片段)與至少一種第二特異性結合搭配物彼此競爭以分別形成第一特異性結合搭配物/分析物(或其片段)複合物及第一特異性結合搭配物/第二特異性結合搭配物複合物。該方法進一步包含藉由偵測或量測由在(ii)中形成之第一特異性結合搭配物/第二特異性結合搭配物複合物中之可偵測標記產生的信號來測定試樣中分析物之存在、量或濃度,其中由第一特異性結合搭配物/第二特異性結合搭配物複合物中之可偵測標記產生之信號與試樣中之分析物之量或濃度成反比。 Alternatively, the method may include: contacting the sample with at least one first specific binding partner of the IL-1β analyte (or a fragment thereof), the at least one first specific binding partner being selected from the group consisting of: Antibodies, antibody fragments, antibody variants that can bind to the analyte, antibody variant fragments that can bind to the analyte, and DVD-Ig (or fragments, variants or variant fragments thereof) that can bind to the analyte; and simultaneously Or sequentially, in any order, the sample and at least one second specific binding partner that can compete with the analyte (or a fragment thereof) for binding to at least one first specific binding partner and selected from the group consisting of Contact: detectably labeled analyte that can bind to the first specific binding partner, detectable labeled analyte fragments, detectable labeled analysis that can bind to the first specific binding partner Variants, and fragments of detectably labeled analyte variants that can bind to the first specific binding partner. Any IL-1β (or fragment thereof) present in the sample competes with at least one second specific binding partner to form a first specific binding partner / analyte (or fragment thereof) complex and the first Specific binding partner / second specific binding partner complex. The method further comprises determining a signal in the sample by detecting or measuring a signal generated by a detectable label in the first specific binding partner / second specific binding partner complex formed in (ii). The presence, amount, or concentration of the analyte, where the signal generated by the detectable label in the first specific binding partner / second specific binding partner complex is inversely proportional to the amount or concentration of the analyte in the sample .

上述方法可進一步包含診斷、預測或評估獲取試樣之患者的治療性/預防性治療之功效。若該方法進一步包含評估獲取試樣之患者的 治療性/預防性治療之功效,則該方法視情況進一步包含視需要來改進患者之治療性/預防性治療以改良功效。該方法可適用於自動系統或半自動系統中。 The method described above may further include diagnosing, predicting, or evaluating the efficacy of a therapeutic / prophylactic treatment of the patient from which the sample was obtained. If the method further includes assessing the For the efficacy of the therapeutic / prophylactic treatment, the method further includes optionally improving the therapeutic / prophylactic treatment of the patient to improve the efficacy as necessary. This method can be applied to automatic systems or semi-automatic systems.

關於檢定方法(及其套組),可採用可購得之抗分析物抗體或如文獻中所述之產生抗分析物之方法。各種抗體之供應商包括(但不限於)Santa Cruz Biotechnology Inc.(Santa Cruz,California)、GenWay Biotech,Inc.(San Diego,California)及R&D Systems(RDS;Minneapolis,Minnesota)。 As for the assay method (and its kit), a commercially available anti-analyte antibody or a method for generating an anti-analyte as described in the literature can be used. Suppliers of various antibodies include, but are not limited to, Santa Cruz Biotechnology Inc. (Santa Cruz, California), GenWay Biotech, Inc. (San Diego, California) and R & D Systems (RDS; Minneapolis, Minnesota).

一般而言,預定含量可用作藉以評估在檢定分析物或其片段之試樣後獲得之結果例如以便偵測疾病或疾病風險的基準。一般而言,在進行該比較中,藉由以足夠次數且在適當條件下進行特定檢定以使得可得到分析物存在、量或濃度與疾病、病症或病狀之特定階段或終點或與特定臨床標誌之聯繫或關聯來獲得預定含量。通常,藉由檢定參照個體(或個體群體)來獲得預定含量。所量測分析物可包括其片段、其降解產物及/或其酶促裂解產物。 In general, the predetermined content can be used as a benchmark by which to evaluate results obtained after assaying a sample of an analyte or a fragment thereof, for example, to detect a disease or disease risk. In general, in performing this comparison, by performing specific assays a sufficient number of times and under appropriate conditions such that a specific stage or endpoint of the presence, amount, or concentration of the analyte and the disease, disorder, or condition, or The association or association of signs to obtain a predetermined content. Generally, a predetermined content is obtained by testing a reference individual (or an individual population). The analytes measured may include fragments thereof, degradation products thereof, and / or enzymatic cleavage products thereof.

詳言之,相對於如用於監測疾病進程及/或治療之預定含量,分析物或其片段之量或濃度可為「無變化的」、「有利的」(或「有利地變化的」),或「不利的」(或「不利地變化的」)。「升高」或「增加」係指試樣中之量或濃度高於典型或正常含量或範圍(例如預定含量)或高於另一參考含量或範圍(例如先前或基線樣本)。術語「降低」或「減少」係指試樣中之量或濃度低於典型或正常含量或範圍(例如預定含量)或低於另一參考含量或範圍(例如先前或基線樣本)。術語「改變」係指樣本中之量或濃度與典型或正常含量或範圍(例如預定含量)相比或與另一參考含量或範圍(例如先前或基線樣本)相比改變(增大或減小)。 In particular, the amount or concentration of an analyte or a fragment thereof may be "unchanged", "favorable" (or "favorably changed") relative to a predetermined amount as used to monitor disease progress and / or treatment. , Or "adverse" (or "adversely changing"). "Elevated" or "increased" means that the amount or concentration in a sample is higher than a typical or normal content or range (such as a predetermined content) or higher than another reference content or range (such as a previous or baseline sample). The term "reduced" or "reduced" means that the amount or concentration in a sample is below a typical or normal content or range (such as a predetermined content) or below another reference content or range (such as a previous or baseline sample). The term `` change '' refers to a change (increase or decrease) in the amount or concentration in a sample compared to a typical or normal content or range (e.g., a predetermined amount) or to another reference content or range (e.g., a previous or baseline sample). ).

分析物之典型或正常含量或範圍係根據標準實務界定。因為在一 些情況中分析物之含量極低,所以當存在與典型或正常含量或範圍或參考含量或範圍相比之不能藉由實驗誤差或樣本偏差解釋的任何淨變化時,可視為已出現所謂的改變之含量或變動。因此,在特定樣本中量測到之含量將會與在來自所謂的正常個體之類似樣本中測定出之含量或含量範圍相比較。在此情形中,「正常個體」為例如不具有可偵測疾病之個體,且「正常」(有時稱為「對照」)患者或群體分別為例如不展現可偵測疾病之患者或群體。此外,假定分析物常規地不以高含量出現於大多數人類群體中,「正常個體」可視為不具有顯著可偵測增加或升高量或濃度之分析物的個體,且「正常」(有時稱為「對照」)患者或群體為不展現顯著可偵測增加或升高量或濃度之分析物的患者或群體。「表觀正常個體」為分析物尚未評估或當前正在評估之個體。當分析物正常地為不可偵測的(例如正常含量為零,或在正常群體之約25至約75百分位數之範圍內),但在試樣中偵測到時,以及當分析物以高於正常含量存在於試樣中時,據稱分析物之含量「升高」。因此,本發明尤其提供一種篩選患有特定疾病、病症或病狀或處於患上特定疾病、病症或病狀之風險中的個體的方法。檢定方法亦可涉及檢定其他標記物及其類似物。 The typical or normal content or range of the analyte is defined according to standard practice. Because in In some cases, the content of the analyte is extremely low, so when there is any net change that cannot be explained by experimental error or sample deviation compared to the typical or normal content or range or reference content or range, it can be regarded as a so-called change has occurred Content or change. Therefore, the content measured in a particular sample will be compared to the content or range of content measured in a similar sample from a so-called normal individual. In this case, a "normal individual" is, for example, an individual who does not have a detectable disease, and a "normal" (sometimes referred to as a "control") patient or group is, for example, a patient or group that does not exhibit a detectable disease. In addition, assuming that the analytes are not routinely present in high levels in most human populations, a "normal individual" can be considered an individual that does not have a significant detectable increase or increase in amount or concentration of the analyte, and that "normal" (with ("Control" when used)) A patient or population is a patient or population that does not exhibit a significant detectable increase or increase in the amount or concentration of the analyte. "Apparently normal individuals" are individuals whose analytes have not been evaluated or are currently being evaluated. When the analyte is normally undetectable (eg, normal content is zero, or in the range of about 25 to about 75 percentiles of the normal population), but is detected in the sample, and when the analyte is When present in the sample at a higher than normal level, the analyte content is said to have "increased". Accordingly, the present invention provides, among other things, a method of screening individuals who are at or at risk for a particular disease, disorder, or condition. The test method may also involve the test of other markers and their analogs.

因此,本文所述之方法亦可用於判定個體是否患有指定疾病、病症或病狀或處於產生指定疾病、病症或病狀之風險中。特定言之,該方法可包含以下步驟:(a)測定來自個體之試樣中之IL-1β(或其片段)的濃度或量(例如使用本文所述之方法或在此項技術中已知之方法);及(b)將步驟(a)中測定出之IL-1β(或其片段)之濃度或量與預定含量進行比較,其中若步驟(a)中測定出之分析物之濃度或量相對於預定含量為有利的,則判定個體未患有指定疾病、病症或病狀或未處於指定疾病、病症或病狀風險之中。然而,若步驟(a)中測定之IL-1β之濃 度或量相對於預定含量為不利的,則判定個體患有指定疾病、病症或病狀或處於指定疾病、病症或病狀風險之中。 Therefore, the methods described herein can also be used to determine whether an individual has a specified disease, disorder, or condition or is at risk of developing a specified disease, disorder, or condition. In particular, the method may include the steps of: (a) determining the concentration or amount of IL-1β (or a fragment thereof) in a sample from an individual (e.g., using the methods described herein or known in the art Method); and (b) comparing the concentration or amount of IL-1β (or a fragment thereof) determined in step (a) with a predetermined content, wherein if the concentration or amount of the analyte measured in step (a) Advantageous relative to a predetermined amount, it is determined that the individual does not have the specified disease, disorder, or condition or is not at risk for the specified disease, disorder, or condition. However, if the concentration of IL-1β measured in step (a) If the degree or amount is unfavorable relative to the predetermined content, then it is determined that the individual has the specified disease, disorder or condition or is at risk of the specified disease, disorder or condition.

另外,本文中提供監測個體之疾病進程之方法。最佳地,該方法包含以下步驟:(a)測定來自個體之試樣中之IL-1β之濃度或量;(b)測定來自個體之稍後試樣中之IL-1β之濃度或量;及(c)將步驟(b)中測定出之分析物之濃度或量與步驟(a)中測定出之IL-1β之濃度或量進行比較,其中若步驟(b)中測定出之濃度或量當與步驟(a)中測定出之IL-1β之濃度或量相比時未變化或為不利的,則判定個體之疾病已持續、進展或惡化。比較而言,若如步驟(b)中測定出之IL-1β之濃度或量當與如步驟(a)中測定出之IL-1β之濃度或量相比時為有利的,則判定個體之疾病已終止、消退或改善。 In addition, methods for monitoring the progress of disease in an individual are provided herein. Optimally, the method comprises the following steps: (a) determining the concentration or amount of IL-1β in a sample from the individual; (b) determining the concentration or amount of IL-1β in a later sample from the individual; And (c) comparing the concentration or amount of the analyte measured in step (b) with the concentration or amount of IL-1β measured in step (a), wherein if the concentration or amount measured in step (b) When the amount does not change or is unfavorable when compared with the concentration or amount of IL-1β determined in step (a), it is determined that the disease of the individual has continued, progressed, or worsened. In comparison, if the concentration or amount of IL-1β as determined in step (b) is advantageous when compared to the concentration or amount of IL-1β as determined in step (a), the individual's The disease has stopped, subsided or improved.

視情況,該方法進一步包含將如步驟(b)中測定出之IL-1β分析物之濃度或量例如與預定含量進行比較。此外,若該比較展示如步驟(b)中測定出之分析物之濃度或量例如相對於預定含量不利地改變,則該方法視情況包含以一或多種醫藥組合物治療個體一段時間。 Optionally, the method further comprises comparing the concentration or amount of the IL-1β analyte as determined in step (b) with, for example, a predetermined content. Furthermore, if the comparison shows that the concentration or amount of the analyte as determined in step (b) is adversely changed, for example, relative to a predetermined content, the method optionally includes treating the individual with one or more pharmaceutical compositions for a period of time.

另外,該等方法可用於監測接受一或多種醫藥組合物治療之個體中之治療。特定言之,該等方法包括在已向個體投與一或多種醫藥組合物之前提供來自個體之第一試樣。接著,測定來自個體之第一試樣中之IL-1β之濃度或量(例如使用本文所述或如在此項技術中已知之方法)。在測定IL-1β之濃度或量之後,視情況隨後將IL-1β之濃度或量與預定含量進行比較。若如在第一試樣中測定出之IL-1β之濃度或量低於預定含量,則不以一或多種醫藥組合物治療個體。然而,若如在第一試樣中測定出之IL-1β之濃度或量高於預定含量,則以一或多種醫藥組合物治療個體持續一段時間。以該或該等醫藥組合物治療個體之時段可由熟習此項技術者確定(例如時段可為約7天至約兩年,較佳約 14天至約1年)。 In addition, these methods can be used to monitor treatment in an individual treated with one or more pharmaceutical compositions. In particular, the methods include providing a first sample from the individual before the individual has administered one or more pharmaceutical compositions. Next, the concentration or amount of IL-Ι β in the first sample from the individual is determined (eg, using methods described herein or as known in the art). After the concentration or amount of IL-1β is determined, the concentration or amount of IL-1β is subsequently compared with a predetermined content as appropriate. If the concentration or amount of IL-1β as determined in the first sample is lower than the predetermined content, the individual is not treated with one or more pharmaceutical compositions. However, if the concentration or amount of IL-1β as determined in the first sample is higher than a predetermined content, the individual is treated with one or more pharmaceutical compositions for a period of time. The period of time for treating an individual with the pharmaceutical composition (s) may be determined by those skilled in the art (e.g., the period may be from about 7 days to about two years, preferably about 14 days to about 1 year).

在以該或該等醫藥組合物治療之過程期間,隨後自個體獲得第二試樣及後續試樣。試樣數目及自個體獲得該等試樣之時間不為關鍵性的。舉例而言,第二試樣可在首次向個體投與該或該等醫藥組合物之後第7天獲得,第三試樣可在首次向個體投與該或該等醫藥組合物之後第2週獲得,第四試樣可在首次向個體投與該或該等醫藥組合物之後第3週獲得,第五試樣可在首次向個體投與該或該等醫藥組合物之後第4週獲得等。 During the course of treatment with the one or more pharmaceutical compositions, a second sample and subsequent samples are subsequently obtained from the individual. The number of samples and the time at which they are obtained from the entity are not critical. For example, a second sample may be obtained on day 7 after the first administration of the pharmaceutical composition to the individual, and a third sample may be obtained on the second week after the first administration of the pharmaceutical composition to the individual Obtained, the fourth sample can be obtained in the third week after the first administration of the pharmaceutical composition to the individual, the fifth sample can be obtained in the fourth week after the first administration of the pharmaceutical composition to the individual, etc. .

在自個體獲得各第二試樣或後續試樣之後,測定第二試樣或後續試樣中之IL-1β分析物之濃度或量(例如使用本文所述或如在此項技術中已知之方法)。如在第二試樣及後續試樣中之每一者中測定出的IL-1β之濃度或量隨後將與如第一試樣(例如最初視情況與預定含量相比之試樣)中測定出之分析物之濃度或量進行比較。若如步驟(c)中測定出之IL-1β之濃度或量當與如步驟(a)中測定出之分析物之濃度或量相比時為有利的,則判定個體之疾病已終止、消退或改善,且應繼續向個體投與步驟(b)之該或該等醫藥組合物。然而,若步驟(c)中測定出之濃度或量當與步驟(a)中測定出之分析物之濃度或量相比時未變化或為不利的,則判定個體之疾病已持續、進展或惡化,且應以較高濃度之步驟(b)中投與個體之該或該等醫藥組合物治療個體或應以不同於步驟(b)中投與個體之該或該等醫藥組合物之一或多種醫藥組合物治療個體。特定言之,可以不同於個體先前接受之該或該等醫藥組合物之一或多種醫藥組合物治療個體以減少或降低該個體之分析物含量。 After each second or subsequent sample is obtained from the individual, the concentration or amount of the IL-1β analyte in the second or subsequent sample is determined (e.g., as described herein or as known in the art). method). The concentration or amount of IL-1β as determined in each of the second and subsequent samples will then be determined as in the first sample (e.g., a sample that is initially compared to a predetermined amount as the case may be). The concentrations or amounts of the analytes are compared. If the concentration or amount of IL-1β as determined in step (c) is advantageous when compared to the concentration or amount of the analyte as measured in step (a), then the individual's disease is judged to have ceased and subsided Or improvement, and the individual (s) of the pharmaceutical composition of step (b) should continue to be administered. However, if the concentration or amount determined in step (c) does not change or is unfavorable when compared to the concentration or amount of the analyte measured in step (a), it is determined that the individual's disease has continued, progressed, or Worsen, and the individual or the pharmaceutical composition administered to the individual in step (b) should be treated at a higher concentration or should be treated differently than one of the or the pharmaceutical composition administered to the individual in step (b) Or more pharmaceutical compositions to treat an individual. In particular, the individual may be treated differently from one or more of the pharmaceutical compositions or compositions previously received by the individual to treat or reduce the analyte content of the individual.

一般而言,對於可能進行重複測試之檢定(例如監測疾病進程及/或治療反應),在自個體獲得第一試樣之後之時段處獲得第二試樣或後續試樣。特定言之,來自個體之第二試樣可在自個體獲得第一試樣 之後數分鐘、數小時、數天、數週或數年獲得。舉例而言,可在自個體獲得第一試樣之後約1分鐘、約5分鐘、約10分鐘、約15分鐘、約30分鐘、約45分鐘、約60分鐘、約2小時、約3小時、約4小時、約5小時、約6小時、約7小時、約8小時、約9小時、約10小時、約11小時、約12小時、約13小時、約14小時、約15小時、約16小時、約17小時、約18小時、約19小時、約20小時、約21小時、約22小時、約23小時、約24小時、約2天、約3天、約4天、約5天、約6天、約7天、約2週、約3週、約4週、約5週、約6週、約7週、約8週、約9週、約10週、約11週、約12週、約13週、約14週、約15週、約16週、約17週、約18週、約19週、約20週、約21週、約22週、約23週、約24週、約25週、約26週、約27週、約28週、約29週、約30週、約31週、約32週、約33週、約34週、約35週、約36週、約37週、約38週、約39週、約40週、約41週、約42週、約43週、約44週、約45週、約46週、約47週、約48週、約49週、約50週、約51週、約52週、約1.5年、約2年、約2.5年、約3.0年、約3.5年、約4.0年、約4.5年、約5.0年、約5.5年、約6.0年、約6.5年、約7.0年、約7.5年、約8.0年、約8.5年、約9.0年、約9.5年或約10.0年之時段處自個體獲得第二試樣。 In general, for tests that are likely to be repeated (such as monitoring disease progression and / or treatment response), a second or subsequent sample is obtained at a time after the individual has obtained the first sample. In particular, a second sample from an individual may obtain a first sample from the individual Obtained in minutes, hours, days, weeks or years. For example, about 1 minute, about 5 minutes, about 10 minutes, about 15 minutes, about 30 minutes, about 45 minutes, about 60 minutes, about 2 hours, about 3 hours, About 4 hours, about 5 hours, about 6 hours, about 7 hours, about 8 hours, about 9 hours, about 10 hours, about 11 hours, about 12 hours, about 13 hours, about 14 hours, about 15 hours, about 16 Hours, about 17 hours, about 18 hours, about 19 hours, about 20 hours, about 21 hours, about 22 hours, about 23 hours, about 24 hours, about 2 days, about 3 days, about 4 days, about 5 days, About 6 days, about 7 days, about 2 weeks, about 3 weeks, about 4 weeks, about 5 weeks, about 6 weeks, about 7 weeks, about 8 weeks, about 9 weeks, about 10 weeks, about 11 weeks, about 12 Week, about 13 weeks, about 14 weeks, about 15 weeks, about 16 weeks, about 17 weeks, about 18 weeks, about 19 weeks, about 20 weeks, about 21 weeks, about 22 weeks, about 23 weeks, about 24 weeks, About 25 weeks, about 26 weeks, about 27 weeks, about 28 weeks, about 29 weeks, about 30 weeks, about 31 weeks, about 32 weeks, about 33 weeks, about 34 weeks, about 35 weeks, about 36 weeks, about 37 Week, about 38 weeks, about 39 weeks, about 40 weeks, about 41 weeks, about 42 weeks, about 43 weeks, about 44 weeks, about 45 weeks, About 46 weeks, about 47 weeks, about 48 weeks, about 49 weeks, about 50 weeks, about 51 weeks, about 52 weeks, about 1.5 years, about 2 years, about 2.5 years, about 3.0 years, about 3.5 years, about 4.0 Years, about 4.5 years, about 5.0 years, about 5.5 years, about 6.0 years, about 6.5 years, about 7.0 years, about 7.5 years, about 8.0 years, about 8.5 years, about 9.0 years, about 9.5 years, or about 10.0 years A second sample was obtained from the individual at a time interval.

當用以監測疾病進程時,上述檢定可用於監測罹患急性病狀之個體之疾病進程。急性病狀,亦稱為危急護理病狀,係指急性的危及生命的疾病或其他涉及例如心血管系統或排泄系統的危急醫學病狀。通常,危急護理病狀係指在基於醫院之情境(包括(但不限於)急救室、重病監護室、外傷中心或其他緊急護理情境)中需要急性醫學介入或藉由護理人員或其他基於現場之醫務人員之照護的彼等病狀。對於危急護理病狀,通常在較短時段,亦即數分鐘,數小時或數天(例如約1分鐘、約5分鐘、約10分鐘、約15分鐘、約30分鐘、約45分鐘、約60分鐘、約2小時、約3小時、約4小時、約5小時、約6小時、約7小時、約 8小時、約9小時、約10小時、約11小時、約12小時、約13小時、約14小時、約15小時、約16小時、約17小時、約18小時、約19小時、約20小時、約21小時、約22小時、約23小時、約24小時、約2天、約3天、約4天、約5天、約6天或約7天)內進行重複監測,且初始檢定同樣地通常在疾病或病狀發作之較短時段(例如約數分鐘、數小時或數天)內進行。 When used to monitor the course of disease, the assays described above can be used to monitor the course of disease in individuals suffering from acute conditions. Acute conditions, also known as critical care conditions, refer to acute life-threatening diseases or other critical medical conditions involving, for example, the cardiovascular system or the excretory system. In general, critical care conditions are those that require acute medical intervention in a hospital-based setting, including (but not limited to) an emergency room, intensive care unit, trauma center, or other emergency care setting, or through a nursing staff or other The symptoms of the care of medical staff. For critical care conditions, usually within a short period of time, i.e. minutes, hours or days (e.g. about 1 minute, about 5 minutes, about 10 minutes, about 15 minutes, about 30 minutes, about 45 minutes, about 60 Minutes, about 2 hours, about 3 hours, about 4 hours, about 5 hours, about 6 hours, about 7 hours, about 8 hours, about 9 hours, about 10 hours, about 11 hours, about 12 hours, about 13 hours, about 14 hours, about 15 hours, about 16 hours, about 17 hours, about 18 hours, about 19 hours, about 20 hours , About 21 hours, about 22 hours, about 23 hours, about 24 hours, about 2 days, about 3 days, about 4 days, about 5 days, about 6 days, or about 7 days), and the initial test is the same Ground is usually carried out within a short period of time (e.g., about minutes, hours, or days) of the onset of a disease or condition.

檢定亦可用於監測罹患慢性或非急性病狀之個體之疾病進程。非危急護理或非急性病狀係指除急性、危及生命的疾病或涉及例如心血管系統及/或排泄系統之其他危急醫學病狀以外的病狀。通常,非急性病狀包括較長期或慢性持續時間之彼等病狀。對於非急性病狀,通常在較長時段,例如數小時、數天、數週、數月或數年(例如約1小時、約2小時、約3小時、約4小時、約5小時、約6小時、約7小時、約8小時、約9小時、約10小時、約11小時、約12小時、約13小時、約14小時、約15小時、約16小時、約17小時、約18小時、約19小時、約20小時、約21小時、約22小時、約23小時、約24小時、約2天、約3天、約4天、約5天、約6天、約7天、約2週、約3週、約4週、約5週、約6週、約7週、約8週、約9週、約10週、約11週、約12週、約13週、約14週、約15週、約16週、約17週、約18週、約19週、約20週、約21週、約22週、約23週、約24週、約25週、約26週、約27週、約28週、約29週、約30週、約31週、約32週、約33週、約34週、約35週、約36週、約37週、約38週、約39週、約40週、約41週、約42週、約43週、約44週、約45週、約46週、約47週、約48週、約49週、約50週、約51週、約52週、約1.5年、約2年、約2.5年、約3.0年、約3.5年、約4.0年、約4.5年、約5.0年、約5.5年、約6.0年、約6.5年、約7.0年、約7.5年、約8.0年、約8.5年、約9.0年、約9.5年或約10.0年)內進行重複監測,且初始檢定同樣地通常在疾病或病狀發作之較長時段(例如約數 小時、數天、數月或數年)內進行。 Assays can also be used to monitor disease progression in individuals with chronic or non-acute conditions. Non-critical care or non-acute condition refers to a condition other than an acute, life-threatening disease or other critical medical condition involving, for example, the cardiovascular system and / or the excretory system. Generally, non-acute conditions include those of a longer or chronic duration. For non-acute conditions, usually over a longer period of time, such as hours, days, weeks, months or years (e.g. about 1 hour, about 2 hours, about 3 hours, about 4 hours, about 5 hours, about 6 Hours, about 7 hours, about 8 hours, about 9 hours, about 10 hours, about 11 hours, about 12 hours, about 13 hours, about 14 hours, about 15 hours, about 16 hours, about 17 hours, about 18 hours, About 19 hours, about 20 hours, about 21 hours, about 22 hours, about 23 hours, about 24 hours, about 2 days, about 3 days, about 4 days, about 5 days, about 6 days, about 7 days, about 2 About 3 weeks, about 4 weeks, about 5 weeks, about 6 weeks, about 7 weeks, about 8 weeks, about 9 weeks, about 10 weeks, about 11 weeks, about 12 weeks, about 13 weeks, about 14 weeks, About 15 weeks, about 16 weeks, about 17 weeks, about 18 weeks, about 19 weeks, about 20 weeks, about 21 weeks, about 22 weeks, about 23 weeks, about 24 weeks, about 25 weeks, about 26 weeks, about 27 Week, about 28 weeks, about 29 weeks, about 30 weeks, about 31 weeks, about 32 weeks, about 33 weeks, about 34 weeks, about 35 weeks, about 36 weeks, about 37 weeks, about 38 weeks, about 39 weeks, About 40 weeks, about 41 weeks, about 42 weeks, about 43 weeks, about 44 weeks, about 45 weeks, about 46 weeks, about 47 weeks, about 48 weeks About 49 weeks, about 50 weeks, about 51 weeks, about 52 weeks, about 1.5 years, about 2 years, about 2.5 years, about 3.0 years, about 3.5 years, about 4.0 years, about 4.5 years, about 5.0 years, about 5.5 Years, about 6.0 years, about 6.5 years, about 7.0 years, about 7.5 years, about 8.0 years, about 8.5 years, about 9.0 years, about 9.5 years, or about 10.0 years), and the initial test is also usually performed at A longer period of onset of the disease or condition (e.g. approximation Hours, days, months, or years).

此外,上述檢定可使用自個體獲得之第一試樣執行,其中第一試樣係自一來源(諸如尿液、血清或血漿)獲得。視情況,上述檢定可隨後使用自個體獲得之第二試樣重複,其中第二試樣係自另一來源獲得。舉例而言,若第一試樣自尿液獲得,則第二試樣可自血清或血漿獲得。可將使用第一試樣及第二試樣自檢定獲得之結果進行比較。比較可用於評估個體之疾病或病狀之狀態。 In addition, the above assay may be performed using a first sample obtained from an individual, wherein the first sample is obtained from a source such as urine, serum, or plasma. Optionally, the above test may be subsequently repeated using a second sample obtained from the individual, wherein the second sample is obtained from another source. For example, if the first sample is obtained from urine, the second sample may be obtained from serum or plasma. The results obtained from the self-test using the first and second samples can be compared. Comparisons can be used to assess the state of an individual's disease or condition.

另外,本發明亦係關於判定易感染或正罹患指定疾病、病症或病狀之個體是否將受益於治療之方法。詳言之,本發明係關於分析物陪伴診斷方法及產物。因此,如本文所述之「監測個體之疾病治療」之方法進一步最佳地亦可涵蓋選擇或鑑別療法之候選者。 In addition, the invention also relates to methods for determining whether an individual susceptible to or suffering from a specified disease, disorder, or condition will benefit from treatment. In detail, the present invention relates to methods and products for companion diagnostics of analytes. Therefore, the method of "monitoring the disease treatment of an individual" as described herein further optimally can also cover the selection or identification of candidates for therapy.

因此,在特定實施例中,本發明亦提供判定患有指定疾病、病症或病狀或處於指定疾病、病症或病狀之風險之中的個體是否為療法之候選者之方法。一般而言,個體為已經歷指定疾病、病症或病狀之一些症狀或實際上已經診斷為患有指定疾病、病症或病狀,或處於指定疾病、病症或病狀風險之中,及/或展示如本文所述之不利濃度或量之分析物或其片段的個體。 Therefore, in a specific embodiment, the present invention also provides a method of determining whether an individual suffering from or at risk of a specified disease, disorder, or condition is a candidate for therapy. In general, an individual is someone who has experienced or is actually diagnosed with or at risk of a specified disease, disorder, or condition, and / or exhibits An individual having an adverse concentration or amount of an analyte or fragment thereof as described herein.

該方法視情況包含如本文所述之檢定,其中在以一或多種醫藥組合物(例如尤其以與涉及分析物之作用機制有關之醫藥劑)、以免疫抑制療法或以免疫吸附療法治療個體之前及之後評估IL-1β,或其中在該治療之後評估分析物且分析物之濃度或量相對於預定含量來比較。在治療後觀測到之IL-1β之不利濃度或量確認個體將不受益於接受進一步或持續治療,而在治療後觀測到之分析物之有利的濃度或量確認個體將受益於接受進一步或持續治療。此確認有助於管理臨床研究,且提供改良之患者護理。 The method optionally includes an assay as described herein, before treating the individual with one or more pharmaceutical compositions (e.g., especially with a pharmaceutical agent related to the mechanism of action involving the analyte), immunosuppressive therapy, or immunosorbent therapy. IL-1β is evaluated and thereafter, or where the analyte is evaluated after the treatment and the concentration or amount of the analyte is compared with a predetermined content. An adverse concentration or amount of IL-1β observed after treatment confirms that the individual will not benefit from receiving further or continuous treatment, and a favorable concentration or amount of analyte observed after treatment confirms that the individual will benefit from receiving further or continuous treatment. This confirmation helps manage clinical studies and provides improved patient care.

不言而喻,雖然本文中某些實施例當用於評估如本文中討論之指 定疾病、病症或病狀時為有利的,但是檢定及套組可用於評估其他疾病、病症及病狀中之分析物。檢定方法亦可涉及檢定其他標記物及其類似物。 It goes without saying that although certain embodiments herein are used to evaluate It is advantageous to identify diseases, disorders, or conditions, but assays and sets can be used to evaluate analytes in other diseases, conditions, and conditions. The test method may also involve the test of other markers and their analogs.

檢定方法亦可用於鑑別改善指定疾病、病症或病狀之化合物。舉例而言,表現分析物之細胞可與候選化合物接觸。與化合物接觸之細胞中之分析物的表現量可使用本文所述之檢定方法與對照細胞中之彼表現量進行比較。 The assay method can also be used to identify compounds that improve a given disease, disorder, or condition. For example, a cell expressing an analyte can be contacted with a candidate compound. The expression level of the analyte in the cells in contact with the compound can be compared to the expression level in control cells using the assay methods described herein.

II. 套組 II. Sets

亦提供用於針對試樣中之分析物(或其片段)之存在、量或濃度而檢定試樣之套組。該套組包含至少一種用於檢定試樣之IL-1β(或其片段)的組分及用於檢定試樣之分析物(或其片段)的說明書。至少一種用於檢定試樣之分析物(或其片段)的組分可包括包含如本文所述且視情況固定於固相上之抗IL-1β結合蛋白(諸如單株抗體或DVD-Ig(或其片段、變異體或變異體片段))的組合物。 Kits for verifying the sample for the presence, amount, or concentration of the analyte (or a fragment thereof) in the sample are also provided. The kit contains at least one component of the IL-1β (or fragment thereof) for the test sample and instructions for the analyte (or fragment thereof) of the test sample. The component of at least one analyte (or fragment thereof) used to characterize the sample may include an anti-IL-1β binding protein (such as a monoclonal antibody or DVD-Ig ( Or a fragment, variant, or variant fragment thereof)).

套組可包含至少一種用於藉由免疫檢定(例如化學發光微粒免疫檢定)檢定試樣之IL-1β分析物的組分,及用於藉由免疫檢定(例如化學發光微粒免疫檢定)檢定試樣之IL-1β分析物的說明書。舉例而言,套組可包含IL-1β之至少一種特異性結合搭配物,諸如抗IL-1β單株/多株抗體(或其可結合於IL-1β分析物之片段、其可結合於分析物之變異體,或可結合於分析物之變異體片段)或抗IL-1β DVD-Ig(或其片段、變異體或變異體片段),其任一者可經可偵測標記。或者或另外,套組可包含經可偵測標記之IL-1β分析物(或其可結合於抗分析物單株/多株抗體或抗分析物DVD-Ig(或其片段、變異體或變異體片段)之片段),其可與試樣中之任何分析物競爭結合於抗分析物單株/多株抗體(或其可結合於分析物之片段、其可結合於分析物之變異體,或可結合於分析物之變異體片段)或抗分析物DVD-Ig(或其片段、變異體或變 異體片段),其任一者可固定於固體支撐物上。套組可包含校正劑或對照物,例如經分離或純化之分析物。套組可包含用於進行檢定之至少一個容器(例如管、微量滴定盤或條帶,其可已以例如第一特異性結合搭配物塗佈)及/或緩衝液,諸如檢定緩衝液或洗滌緩衝液,其任一者可提供為可偵測標記(例如酶標記)之濃溶液、受質溶液,或終止溶液。較佳地,套組包含為執行檢定所必需之所有組分,亦即試劑、標準物、緩衝液、稀釋劑等。說明書可呈紙形式或電腦可讀形式,諸如磁盤、CD、DVD或其類似物。 The kit may include at least one component for testing an IL-1β analyte of a sample by an immunoassay (e.g., chemiluminescence microparticle immunoassay) and a test for immunoassay (e.g., chemiluminescence microparticle immunoassay). Instructions for the same IL-1β analyte. For example, the kit can include at least one specific binding partner of IL-1β, such as an anti-IL-1β single / multiple antibody (or a fragment thereof that can bind to an IL-1β analyte, which can bind to an assay A variant of the substance, or a variant fragment that can be bound to the analyte) or anti-IL-1β DVD-Ig (or a fragment, variant, or variant fragment thereof), either of which can be detectably labeled. Alternatively or in addition, the kit may comprise a detectably labeled IL-1β analyte (or it may bind to an anti-analyte monoclonal / multiple antibody or an anti-analyte DVD-Ig (or a fragment, variant or variant thereof) Fragment), which can compete with any analyte in the sample to bind to the single or multiple antibodies against the analyte (or a fragment that can bind to the analyte, a variant that can bind to the analyte, Or variant fragments that can bind to the analyte) or anti-analyte DVD-Ig (or fragments, variants or variants thereof) Allogeneic fragments), either of which can be fixed on a solid support. A kit can include a calibrator or control, such as an isolated or purified analyte. The kit may include at least one container (e.g., tube, microtiter tray or strip, which may have been coated with, for example, a first specific binding partner) for performing an assay and / or a buffer, such as an assay buffer or a wash Buffers, any of which can be provided as a concentrated solution, a substrate solution, or a stop solution of a detectable label (eg, an enzyme label). Preferably, the kit contains all components necessary for performing the assay, that is, reagents, standards, buffers, diluents, and the like. The instructions may be in paper form or computer readable form, such as a magnetic disk, CD, DVD, or the like.

任何結合蛋白(諸如抗IL-1β結合蛋白或抗分析物DVD-Ig或示蹤劑)可併入如本文所述之可偵測標記,諸如螢光團、放射性部分、酶、生物素/抗生物素蛋白標記、發色團、化學發光標記或其類似物,或套組可包括用於進行可偵測標記之試劑。抗體、校正劑及/或對照物可提供於獨立容器中或預分配至適當檢定形式中,例如至微量滴定盤中。 Any binding protein (such as an anti-IL-1β binding protein or anti-analyte DVD-Ig or tracer) can be incorporated into a detectable label as described herein, such as a fluorophore, a radioactive moiety, an enzyme, a biotin / antibody Biotin protein labels, chromophores, chemiluminescent labels, or the like, or kits can include reagents for detectable labeling. Antibodies, calibrators, and / or controls can be provided in separate containers or pre-dispensed into appropriate assay formats, such as into microtiter plates.

視情況,套組包括品質控制組分(例如靈敏度套件、校正劑及陽性對照)。品質控制試劑之製備為此項技術中所熟知且描述於各種免疫診斷產品之插頁上。靈敏度套件成員視情況用以確立檢定效能特徵,且進一步視情況為免疫檢定套組試劑之完整性及檢定之標準化的適用指標。 Optionally, the set includes quality control components (such as sensitivity kits, calibrators, and positive controls). The preparation of quality control reagents is well known in the art and is described on the inserts of various immunodiagnostic products. The members of the sensitivity kit are used to establish the performance characteristics of the test as appropriate, and further, they are the applicable indicators of the completeness of the immunoassay kit and the standardization of the test.

套組亦可視情況包括進行診斷檢定或有助於品質控制評估所需之其他試劑,諸如緩衝液、鹽、酶、酶輔因子、酶受質、偵測試劑及其類似物。分離及/或處理試樣之其他組分(諸如緩衝液及溶液)(例如預處理試劑)亦可包括於套組中。套組可另外包括一或多個其他對照物。套組之組分中之一或多者可經凍乾,在該情況下套組可進一步包含適於復原凍乾組分之試劑。 The kit may also include other reagents, such as buffers, salts, enzymes, enzyme cofactors, enzyme substrates, detection reagents, and the like, as appropriate, for diagnostic tests or to assist in quality control assessments. Other components (such as buffers and solutions) that separate and / or process the sample (such as pretreatment reagents) can also be included in the kit. The kit may additionally include one or more other controls. One or more of the components of the kit may be lyophilized, in which case the kit may further comprise an agent suitable for reconstituting the lyophilized components.

套組之各種組分視情況根據需要提供於適合容器中,例如微量滴 定盤。套組可進一步包括用於固持或儲存樣本之容器(例如尿樣之容器或濾筒)。適當時,套組視情況亦可含有反應容器、混合容器及有助於製備試劑或試樣之其他組件。套組亦可包括有助於獲得試樣之一或多種儀器,諸如針筒、移液管、鉗子、量測匙或其類似物。 Various components of the kit are provided in suitable containers as required, such as microdrops Fixed plate. The kit may further include a container (eg, a urine sample container or filter cartridge) for holding or storing a sample. Where appropriate, the kit may optionally contain a reaction vessel, a mixing vessel, and other components that facilitate the preparation of reagents or samples. The kit may also include one or more instruments that facilitate obtaining a sample, such as a syringe, pipette, forceps, measuring spoon, or the like.

若可偵測標記為至少一種吖錠化合物,則套組可包含至少一種吖錠-9-甲醯胺、至少一種吖錠-9-甲酸酯芳酯或其任何組合。若可偵測標記為至少一種吖錠化合物,則套組亦可包含過氧化氫來源,諸如緩衝液、溶液及/或至少一種鹼性溶液。視需要,套組可含有固相,諸如磁性粒子、珠粒、試管、微量滴定盤、比色管、膜、支架分子、薄膜、濾紙、盤片或晶片。 If detectably labeled as at least one acrid compound, the kit may include at least one acrid-9-formamide, at least one acrid-9-formate aryl ester, or any combination thereof. If detectably labeled as at least one azidine compound, the kit may also include a source of hydrogen peroxide, such as a buffer, a solution, and / or at least one alkaline solution. If desired, the kit may contain a solid phase, such as magnetic particles, beads, test tubes, microtiter plates, cuvettes, membranes, scaffold molecules, films, filter paper, discs, or wafers.

III. 套組與方法之適應性 III. Adaptability of packages and methods

藉由如本文所述之檢定(諸如免疫檢定)測定試樣中分析物之存在、量或濃度的套組(或其組分)以及方法可適用於例如美國專利第5,089,424號及第5,006,309號中所述且例如由Abbott Laboratories(Abbott Park,IL)以ARCHITECT®出售之多種自動及半自動系統(包括固相包含微粒之系統)中。 Kits (or components thereof) and methods for determining the presence, amount, or concentration of an analyte in a sample by a test (such as an immunoassay) as described herein are applicable to, for example, U.S. Patent Nos. 5,089,424 and 5,006,309 A variety of automated and semi-automated systems (including systems in which the solid phase contains particles) are described and sold, for example, by Abbott Laboratories (Abbott Park, IL) as ARCHITECT®.

自動或半自動系統相較於非自動系統(例如ELISA)的一些差異包括連接有第一特異性結合搭配物(例如,抗分析物單株/多株抗體(或其片段、其變異體或其變異體片段)或抗分析物DVD-Ig(或其片段、其變異體或其變異體片段))之基板(任一方式皆會影響夾心形成及分析物反應性),以及捕捉、偵測及/或任何視情況存在之洗滌步驟的時間長短及時序。儘管非自動形式(諸如ELISA)可能需要樣本與捕捉試劑之相對較長之培育時間(例如約2小時),但自動或半自動形式(例如ARCHITECT®,Abbott Laboratories)會具有相對較短之培育時間(例如對於ARCHITECT®,為約18分鐘)。同樣,儘管非自動形式(諸如ELISA)培育偵測抗體(諸如結合物試劑)可能持續相對較長之培育時間 (例如約2小時),但自動或半自動形式(例如ARCHITECT®)會具有相對較短之培育時間(例如對於ARCHITECT®,為約4分鐘)。 Some differences between automated or semi-automated systems compared to non-automated systems (e.g. ELISA) include the attachment of a first specific binding partner (e.g., an anti-analyte monoclonal / multiclonal antibody (or a fragment thereof, a variant thereof, or a variant thereof) Body fragments) or anti-analyte DVD-Ig (or fragments thereof, variants or variant fragments thereof)) substrates (in either way will affect sandwich formation and analyte reactivity), and capture, detect, and / Or the length and timing of any washing steps that may exist. Although non-automated formats (such as ELISA) may require a relatively long incubation time (e.g., about 2 hours) between sample and capture reagents, automatic or semi-automatic formats (e.g., ARCHITECT®, Abbott Laboratories) will have relatively short incubation times ( (For example, ARCHITECT®, about 18 minutes). Also, although non-automated formats (such as ELISA) may produce relatively long incubation times for detection antibodies (such as conjugate reagents) (E.g. about 2 hours), but an automatic or semi-automatic form (e.g., ARCHITECT®) will have a relatively short incubation time (e.g., about 4 minutes for ARCHITECT®).

可自Abbott Laboratories獲得之其他平台包括(但不限於)AxSYM®、IMx®(參見例如美國專利第5,294,404號)、PRISM®、EIA(珠粒)及QuantumTM II以及其他平台。另外,檢定、套組及套組組分可以其他形式使用,例如在電化學或其他手持型或定點照護型檢定系統上。本發明例如適用於執行夾心免疫檢定之市售Abbott定點照護型(i-STAT®,Abbott Laboratories)電化學免疫檢定系統。免疫感測器及其製造及在一次性測試裝置中操作之方法描述於例如美國專利第5,063,081號、美國公開案第2003/0170881號、美國公開案第2004/0018577號、美國公開案第2005/0054078號及美國公開案第2006/0160164號中。 Other platforms available from Abbott Laboratories include, but are not limited to, AxSYM®, IMx® (see, e.g., U.S. Patent No. 5,294,404), PRISM®, EIA (Beads) and Quantum II and other platforms. In addition, verification, kits, and kit components can be used in other forms, such as on electrochemical or other handheld or fixed-care verification systems. The present invention is applicable, for example, to a commercially available Abbott fixed-point care type (i-STAT®, Abbott Laboratories) electrochemical immunoassay system that performs a sandwich immunoassay. Immune sensors and methods of making them and operating them in disposable test devices are described in, for example, U.S. Patent No. 5,063,081, U.S. Pub. No. 0054078 and US Publication No. 2006/0160164.

特定而言,關於分析物檢定對I-STAT®系統之適應性,以下組態為較佳的。製造具有一對金電流分析工作電極及銀-氯化銀參考電極的微型裝配之矽晶片。在一個工作電極上,將固定有抗分析物單株/多株抗體(或其片段、其變異體或其變異體片段)或抗分析物DVD-Ig(或其片段、其變異體或其變異體片段)之聚苯乙烯珠粒(0.2mm直徑)黏著於電極上經圖案化之聚乙烯醇之聚合物塗層上。將此晶片以適用於免疫檢定之射流學形式組裝至I-STAT®筒中。在該筒之容納樣本之腔室壁的一部分上,存在包含對分析物具特異性之結合搭配物(諸如抗分析物單株/多株抗體(或其可結合分析物之片段、其變異體或其變異體片段)或抗分析物DVD-Ig(或其可結合分析物之片段、其變異體或其變異體片段),其皆可經可偵測標記)之層。在該筒之流體囊內為包括對胺基苯酚磷酸酯之水性試劑。 In particular, regarding the adaptability of the analyte test to the I-STAT® system, the following configurations are preferred. Fabricate a micro-assembled silicon wafer with a pair of gold current analysis working electrodes and a silver-silver chloride reference electrode. On one working electrode, an anti-analyte single / multiple antibody (or a fragment thereof, a variant thereof or a variant fragment thereof) or an anti-analyte DVD-Ig (or a fragment thereof, a variant thereof or a variant thereof) will be immobilized Body fragments) of polystyrene beads (0.2 mm diameter) adhered to the polymer coating of patterned polyvinyl alcohol on the electrodes. This wafer is assembled into an I-STAT® cartridge in a fluidic form suitable for immunoassays. On a part of the chamber wall of the cartridge containing the sample, there are binding partners (such as anti-analyte single / multiple antibodies (or fragments thereof capable of binding to the analyte), variants thereof that are specific to the analyte Or a variant fragment thereof) or an anti-analyte DVD-Ig (or a fragment that can bind the analyte, a variant thereof, or a variant fragment thereof, which can all be detectably labeled). Inside the fluid bladder of the cartridge is an aqueous reagent including p-aminophenol phosphate.

在操作中,將懷疑含有分析物之樣本添加至測試筒之容納腔室中,且將該筒插入I-STAT®讀取器中。在對分析物具特異性之結合搭 配物溶解於樣本中之後,該筒內之泵元件推動樣本進入容納晶片之管道中。此處,將其振盪以促進形成夾心。在檢定之倒數第二個步驟中,將流體自流體囊推出且進入管道中以將樣本自晶片洗去且進入廢料腔室中。在檢定之最終步驟中,鹼性磷酸酶標記與對胺基苯酚磷酸酯反應以裂解磷酸酯基且允許釋放之對胺基苯酚在工作電極處被電化學氧化。基於所量測之電流,讀取器能夠藉助於嵌入式算法及工廠確定之校正曲線來計算樣本中分析物之量。 In operation, a sample suspected of containing an analyte is added to the holding chamber of the test cartridge, and the cartridge is inserted into an I-STAT® reader. In combination with specific analytes After the formulation is dissolved in the sample, the pump element in the cartridge pushes the sample into the tube containing the wafer. Here, it is oscillated to promote the formation of a sandwich. In the penultimate step of the test, the fluid is pushed out of the fluid bladder and into a tube to wash the sample from the wafer and into the waste chamber. In the final step of the assay, the alkaline phosphatase tag reacts with p-aminophenol phosphate to cleave the phosphate group and allows the released p-aminophenol to be electrochemically oxidized at the working electrode. Based on the measured current, the reader is able to calculate the amount of analyte in the sample by means of an embedded algorithm and a calibration curve determined by the factory.

更不言而喻的是,如本文所述之方法及套組必然涵蓋其他用於進行免疫檢定之試劑及方法。舉例而言,涵蓋各種緩衝液,諸如此項技術中已知及/或可容易地製備或最佳化以例如用於洗滌、用作結合物稀釋劑、微粒稀釋劑及/或用作校正劑稀釋劑之緩衝液。例示性結合物稀釋劑為某些套組(Abbott Laboratories,Abbott Park,Illinois)中所用且含有2-(N-嗎啉基)乙磺酸(MES)、鹽、蛋白質阻斷劑、抗微生物劑及清潔劑之ARCHITECT®結合物稀釋劑。例示性校正劑稀釋劑為某些套組(Abbott Laboratories,Abbott Park,Illinois)中所用之ARCHITECT®人類校正劑稀釋劑,其包含含有MES、其他鹽、蛋白質阻斷劑及抗微生物劑之緩衝液。另外,如美國第12/650,241號(美國公開案第2010/0167301號;亦參見PCT公開案第WO 2010/078443號)中所述,例如在I-Stat筒形式中,可使用與信號抗體連接之核酸序列作為信號放大劑獲得改良之信號產生。 It goes without saying that the methods and kits described herein must encompass other reagents and methods for performing immunoassays. For example, various buffers are encompassed, such as known in the art and / or can be easily prepared or optimized for use, for example, in washing, as a conjugate diluent, particulate diluent, and / or as a calibrator Diluent buffer. Exemplary conjugate diluents are used in certain kits (Abbott Laboratories, Abbott Park, Illinois) and contain 2- (N-morpholinyl) ethanesulfonic acid (MES), salts, protein blockers, antimicrobials And cleaner ARCHITECT® conjugate thinner. Exemplary calibrator diluents are ARCHITECT® human calibrator diluents used in certain kits (Abbott Laboratories, Abbott Park, Illinois), which contain buffers containing MES, other salts, protein blockers, and antimicrobials . In addition, as described in US No. 12 / 650,241 (US Publication No. 2010/0167301; see also PCT Publication No. WO 2010/078443), for example, in the form of an I-Stat cartridge, a signal antibody can be used The nucleic acid sequence is used as a signal amplifier to obtain improved signal generation.

熟習此項技術者應易於瞭解,本文所述之本發明方法的其他適合之修改及調適為明顯的且可使用適合之等效形式來進行,而不背離本發明或本文所揭示之實施例的範疇。 Those skilled in the art should readily understand that other suitable modifications and adaptations of the method of the invention described herein are obvious and can be performed using suitable equivalent forms without departing from the invention or the embodiments disclosed herein. category.

現已詳細描述了本發明,參考下列實例可更清楚地理解本發明,該等實例僅出於說明之目的包括在內而不意欲限制本發明。 Now that the present invention has been described in detail, the present invention may be more clearly understood with reference to the following examples, which are included for illustrative purposes only and are not intended to limit the present invention.

實例Examples

實例1:自純系E26產生親和力成熟人類化IL-1β抗體Example 1: Production of affinity mature humanized IL-1β antibody from pure line E26

表6提供人類化小鼠E26抗體(GlaxoSmithKline,PCT公開案第WO 95/01997號)之VH及VL之胺基酸序列。各VH及VL序列之個別CDR之胺基酸殘基以粗體指示。 Table 6 provides the amino acid sequences of VH and VL of humanized mouse E26 antibody (GlaxoSmithKline, PCT Publication No. WO 95/01997). The amino acid residues of the individual CDRs of each VH and VL sequence are indicated in bold.

Figure TWI615405BD00046
Figure TWI615405BD00046
Figure TWI615405BD00047
Figure TWI615405BD00047

如下獲得親和力成熟之人類化小鼠E26抗體。構築一個輕鏈文庫以在以下殘基處含有有限突變誘發:CDRL1:30、31、32;CDRL2:50、53、55、56;CDRL3:92、93、94、96及97(Kabat編號)。製得兩個重鏈文庫以於CDRH1及CDRH2中之殘基31、33、50、52a、55、56、57、58及60(Kabat編號)處或於CDRH3中之殘基95、96、97、98、99、100、100a、100b及102處含有有限突變誘發。該等重鏈文庫亦在殘基23(A/S)、24(A/S)、62(T/S)、84(P/A)、88(G/A)、91(F/Y)及108(P/L)處含有二元多樣性以允許在文庫選擇期間進行構架生殖系化。藉由降低獼猴(cyno)IL-1β之濃度獨立選擇所有三個文庫。隨後將所有突變之CDR序列組合於僅在VH CDR中具有突變之一個文庫及在所有六個CDR中具有突變之另一文庫中。對於人類及獼猴IL-1β,使該兩個組合文庫經受更嚴格之選擇條件,隨後鑑別個別抗體且使其以IgG蛋白形式表現以進行進一步表徵。 Affinity matured humanized mouse E26 antibody was obtained as follows. A light chain library was constructed to contain limited mutation induction at the following residues: CDRL1: 30, 31, 32; CDRL2: 50, 53, 55, 56; CDRL3: 92, 93, 94, 96, and 97 (Kabat numbering). Two heavy chain libraries were made to residues 31, 33, 50, 52a, 55, 56, 57, 58 and 60 (Kabat numbering) in CDRH1 and CDRH2 or residues 95, 96, 97 in CDRH3 , 98, 99, 100, 100a, 100b and 102 contained limited mutation induction. These heavy chain libraries are also at residues 23 (A / S), 24 (A / S), 62 (T / S), 84 (P / A), 88 (G / A), 91 (F / Y) Binary diversity at 108 and 108 (P / L) allows framework germline to be performed during library selection. All three libraries were independently selected by reducing the concentration of cyno IL-1β. All mutated CDR sequences were then combined in one library with mutations in only the VH CDRs and another library with mutations in all six CDRs. For human and cynomolgus IL-1β, the two combinatorial libraries were subjected to more stringent selection conditions, and individual antibodies were subsequently identified and expressed as IgG proteins for further characterization.

表7提供來源於人類化E26之親和力成熟IL-1β抗體之VH區的胺基酸序列的清單。各VH序列之個別CDR之胺基酸殘基以粗體指示。 Table 7 provides a list of amino acid sequences derived from the VH region of the humanized E26 affinity matured IL-1 β antibody. The amino acid residues of the individual CDRs of each VH sequence are indicated in bold.

Figure TWI615405BD00048
Figure TWI615405BD00048
Figure TWI615405BD00049
Figure TWI615405BD00049
Figure TWI615405BD00050
Figure TWI615405BD00050
Figure TWI615405BD00051
Figure TWI615405BD00051
Figure TWI615405BD00052
Figure TWI615405BD00052
Figure TWI615405BD00053
Figure TWI615405BD00053
Figure TWI615405BD00054
Figure TWI615405BD00054
Figure TWI615405BD00055
Figure TWI615405BD00055
Figure TWI615405BD00056
Figure TWI615405BD00056

表8提供來源於E26之親和力成熟人類化IL-1β抗體之VL區的胺基酸序列的清單。各VL序列之個別CDR之胺基酸殘基以粗體指示。下文表8中之一些親和力成熟VL序列中可見的N端D(Asp)至G(Gly)突變最有可能為非預期之突變誘發的結果,該突變誘發係在文庫構築期間所進行的聚合酶鏈反應(PCR)期間發生。當使用此等區域來構築IgG分子時,可不計後果地移除N端G殘基。 Table 8 provides a list of amino acid sequences derived from the VL region of the affinity mature humanized IL-1 β antibody of E26. The amino acid residues of the individual CDRs of each VL sequence are indicated in bold. The N-terminal D (Asp) to G (Gly) mutations seen in some of the affinity matured VL sequences in Table 8 below are most likely the result of unexpected mutation induction, which is induced by polymerase during library construction Occurs during a strand reaction (PCR). When using these regions to construct an IgG molecule, the N-terminal G residues can be removed recklessly.

Figure TWI615405BD00057
Figure TWI615405BD00057
Figure TWI615405BD00058
Figure TWI615405BD00058
Figure TWI615405BD00059
Figure TWI615405BD00059
Figure TWI615405BD00060
Figure TWI615405BD00060
Figure TWI615405BD00061
Figure TWI615405BD00061

上述表中來自人類化E26之親和力成熟IL-1β抗體之VH及VL區的個別CDR之序列可經比對以提供共同CDR序列,諸如表9中之共同CDR序列。 The sequences of the individual CDRs from the VH and VL regions of the affinity matured IL-1 β antibodies of the humanized E26 in the table above can be aligned to provide common CDR sequences, such as the common CDR sequences in Table 9.

Figure TWI615405BD00062
Figure TWI615405BD00062
Figure TWI615405BD00063
Figure TWI615405BD00063

將表10中之序列轉換至IgG中以作進一步表徵。純系E26.13在可變重鏈及輕鏈區之J區中突變(分別稱作E26.13 JM VH及E26.13 JM VL),以移除非生殖系構架突變。個別CDR之胺基酸殘基以粗體指示。 The sequences in Table 10 were converted into IgG for further characterization. Pure E26.13 mutations in the J region of the variable heavy and light chain regions (referred to as E26.13 JM VH and E26.13 JM VL) to remove non-germline framework mutations. The amino acid residues of individual CDRs are indicated in bold.

Figure TWI615405BD00064
Figure TWI615405BD00064
Figure TWI615405BD00065
Figure TWI615405BD00065
Figure TWI615405BD00066
Figure TWI615405BD00066
Figure TWI615405BD00067
Figure TWI615405BD00067
Figure TWI615405BD00068
Figure TWI615405BD00068
Figure TWI615405BD00069
Figure TWI615405BD00069
Figure TWI615405BD00070
Figure TWI615405BD00070

實例2:IL-1β抗體之功能表徵Example 2: Functional Characterization of IL-1β Antibodies

實例2.1:IL-1β酶聯免疫吸附檢定方案Example 2.1: IL-1β enzyme-linked immunosorbent assay scheme

為測定抗IL-1β mAb是否結合於人類IL-1β,將ELISA盤(Nunc,MaxiSorp,Rochester,New York)與2μg/ml之用Pierce Coat緩衝液稀釋之抗人類Fc抗體(Jackson Immunoresearch,West Grove,Pennsylvania)一起在4℃下培育隔夜。用洗滌緩衝液(含有0.05% Tween 20之PBS)將盤洗滌5次,且在25℃下用每孔200μl Superblock阻斷緩衝液(Thermo scientific,第37515號)阻斷1小時。藉由輕敲盤來移除阻斷緩衝液,且將2μg/ml之於含有10% Superblock、0.5% Tween-20之PBS中的各抗體以每孔100μl添加至各孔中且在25℃下培育1小時。以1×PBST洗滌各孔5次,且在1:6連續稀釋(對於μg至pg之範圍,用含有10% Superblock、0.05% Tween 20之PBS)下滴定1μg/ml生物素化抗原。隨後將抗原之各稀釋液添加至盤中且在25℃下培育1小時。以1×PBST洗滌各孔5次且在25℃下用polyHRP抗生蛋白鏈菌素(KPL第474-3000號,Gaithersburg,Maryland)培育1小時。以1×PBST洗滌各孔5次,且每孔添加100μl ULTRA-TMB ELISA(Pierce,Rockford,Illinois)。在顯色後,用1N HCL終止反應且量測450nm下之吸光度。結果展示於表11中,且數值指示抗IL-1β抗體與人類IL-1β結合。 To determine whether the anti-IL-1β mAb bound to human IL-1β, an ELISA plate (Nunc, MaxiSorp, Rochester, New York) and 2 μg / ml of an anti-human Fc antibody (Jackson Immunoresearch, West Grove) diluted with Pierce Coat buffer were used. , Pennsylvania) were incubated overnight at 4 ° C. The disks were washed 5 times with washing buffer (PBS containing 0.05% Tween 20) and blocked with 200 μl of Superblock blocking buffer (Thermo scientific, No. 37515) per well at 25 ° C. for 1 hour. The blocking buffer was removed by tapping the disk, and 2 μg / ml of each antibody in PBS containing 10% Superblock, 0.5% Tween-20 was added to each well at 100 μl per well at 25 ° C. Incubate for 1 hour. Each well was washed 5 times with 1 × PBST, and 1 μg / ml biotinylated antigen was titrated at a serial dilution of 1: 6 (for a range of μg to pg with PBS containing 10% Superblock, 0.05% Tween 20). Each dilution of the antigen was then added to the dish and incubated for 1 hour at 25 ° C. Each well was washed 5 times with 1 × PBST and incubated with polyHRP streptavidin (KPL No. 474-3000, Gaithersburg, Maryland) for 1 hour at 25 ° C. Each well was washed 5 times with 1 × PBST, and 100 μl of ULTRA-TMB ELISA (Pierce, Rockford, Illinois) was added to each well. After color development, the reaction was stopped with 1N HCL and the absorbance at 450 nm was measured. The results are shown in Table 11, and the values indicate that the anti-IL-1β antibody binds to human IL-1β.

Figure TWI615405BD00071
Figure TWI615405BD00071

實例2.2:IL-1β抗體之中和效能Example 2.2: IL-1β antibody neutralizing potency

為研究本發明中之抗人類IL-1β抗體之功能活性,將抗體用於可量測抗體抑制IL-1β活性之能力的MRC-5檢定中。MRC-5細胞株為以劑量依賴性方式對人類IL-1β作出回應而產生IL-8之人類肺纖維母細胞株。此細胞株亦對獼猴IL-1β作出回應而產生IL-8。最初自ATCC獲得MRC-5細胞,且在10% FBS完全MEM中繼代培養,且在37℃下於5% CO2培育箱中生長。為測定抗體對IL-1β之中和效能,將抗體(50μl)添加至96孔盤中(最終濃度範圍為1E-7至1E-15M)且在37℃、5% CO2下與50μl人類或獼猴IL-1β(最終濃度為50pg/mL)一起預培育1小時。隨後將抗原抗體複合物(100μL)添加至MRC-5細胞(24小時前以1E5/ml之濃度以每孔100μl細胞之量塗覆)中。在37℃下於5% CO2培育箱中將檢定盤培育隔夜。根據抗體抑制IL-8產生之能力來測定抗體效能。藉由基於化學發光之檢定來量測人類IL-8產生。表12概述關於人類及獼猴IL-1β之抗體效能。 In order to study the functional activity of the anti-human IL-1β antibody in the present invention, the antibody was used in an MRC-5 assay that can measure the ability of the antibody to inhibit IL-1β activity. The MRC-5 cell line is a human lung fibroblast cell line that produces IL-8 in a dose-dependent manner in response to human IL-1β. This cell line also responds to cynomolgus IL-1β to produce IL-8. MRC-5 cells were originally obtained from ATCC and were subcultured in complete MEM at 10% FBS and grown in a 5% CO 2 incubator at 37 ° C. To determine the neutralizing potency of the antibody against IL-1β, the antibody (50 μl) was added to a 96-well plate (final concentration range 1E-7 to 1E-15M) and 50 μl of human or human at 37 ° C, 5% CO 2 Rhesus monkey IL-1 β (final concentration of 50 pg / mL) was pre-incubated together for 1 hour. The antigen-antibody complex (100 μL) was then added to MRC-5 cells (coated at 100 μl per well at a concentration of 1E5 / ml 24 hours ago). The assay plate was incubated overnight in a 5% CO 2 incubator at 37 ° C. Antibody potency was measured by its ability to inhibit IL-8 production. Human IL-8 production was measured by a chemiluminescence-based assay. Table 12 summarizes the antibody efficacy on human and cynomolgus IL-1β.

Figure TWI615405BD00072
Figure TWI615405BD00072

ND:未測出。 ND: Not detected.

實例2.3:藉由表面電漿子共振對IL-1β抗體進行親和力量測Example 2.3: Affinity measurement of IL-1β antibodies by surface plasmon resonance

BIACORE檢定(Biacore,Inc,Piscataway,New Jersey)利用動力學量測締合速率常數及解離速率常數來測定抗體之親和力。在25℃下,藉由用Biacore® 3000儀器(Biacore® AB,Uppsala,Sweden)使用操作(running)HBS-EP(10mM HEPES[pH 7.4]、150mM NaCl、3mM EDTA及0.005%界面活性劑P20)進行基於表面電漿子共振之量測來測定抗體與經純化之重組人類IL-1β及獼猴IL-1β之結合。所有化學品皆獲自Biacore® AB(Uppsala,Sweden)或另外來自如本文所述之不同來源。根據製造商之指示及程序,使用標準胺偶合套組將用10mM乙酸鈉(pH 4.5)稀釋之約5000RU山羊抗小鼠IgG、(Fcγ)、片段特異性多株抗體(Pierce Biotechnology Inc,Rockford,Illinois)以25μg/ml直接固定於CM5研究級生物感測器晶片上。用乙醇胺阻斷生物感測器表面上未反應之部分。流槽2及4中之經修飾的羧甲基聚葡萄糖表面用作反應表面。流槽1及3中不含山羊抗小鼠IgG之未經修飾的羧甲基聚葡萄糖用作參考表面。在動力學分析中,藉助於Biaevaluation 4.0.1軟體將由1:1朗繆爾結合模型(Langmuir binding model)得出之速率方程與所有八個注射液之締合相及解離相同時擬合(使用整體擬合分析)。用HEPES緩衝鹽水稀釋經純化之抗體以便捕捉於山羊抗人類IgG特異性反應表面上。將欲以配位體形式捕獲之抗體(25μg/ml)以5μL/min之流動速率注射於反應基質上。在25μL/min之連續流動速率下測定締合速率常數kon(單位M-1s-1)及解離速率常數koff(單位s-1)。藉由在10-200nM範圍內之十個不同抗原濃度下量測動力學結合來得出速率常數。隨後根據下式自動力學速率常數計算抗體與標靶抗原之間的反應之平衡解離常數(單位M):KD=koff/kon。隨時間變化記錄結合且計算動力學速率常數。在此檢定中,可量測到快至106M-1s-1之締合速率及慢至10-6s-1之解離速率。表13展示人類抗IL-1β抗體之親和力量測結果。 The BIACORE test (Biacore, Inc, Piscataway, New Jersey) uses kinetics to measure association rate constants and dissociation rate constants to determine antibody affinity. Running HBS-EP (10 mM HEPES [pH 7.4], 150 mM NaCl, 3 mM EDTA, and 0.005% surfactant P20) at 25 ° C by using a Biacore® 3000 instrument (Biacore® AB, Uppsala, Sweden). Measurements based on surface plasmon resonance were performed to determine the binding of antibodies to purified recombinant human IL-1β and cynomolgus IL-1β. All chemicals were obtained from Biacore® AB (Uppsala, Sweden) or otherwise from different sources as described herein. According to the manufacturer's instructions and procedures, approximately 5000 RU goat anti-mouse IgG, (Fcγ), fragment-specific polyclonal antibodies (Pierce Biotechnology Inc, Rockford, Illinois) was directly fixed on a CM5 research-grade biosensor wafer at 25 μg / ml. Use ethanolamine to block unreacted parts on the surface of the biosensor. The modified carboxymethyl polyglucose surface in flow cells 2 and 4 was used as the reaction surface. Unmodified carboxymethyl polyglucose without goat anti-mouse IgG in flow cells 1 and 3 was used as a reference surface. In kinetic analysis, with the aid of Biaevaluation 4.0.1 software, the rate equations obtained from the 1: 1 Langmuir binding model were fitted to the association phases and dissociations of all eight injections (using the Overall fit analysis). The purified antibody was diluted with HEPES buffered saline to capture on the goat anti-human IgG specific reaction surface. The antibody (25 μg / ml) to be captured as a ligand was injected onto the reaction matrix at a flow rate of 5 μL / min. The association rate constant k on (unit M -1 s -1 ) and the dissociation rate constant k off (unit s -1 ) were measured at a continuous flow rate of 25 μL / min. Rate constants were obtained by measuring kinetic binding at ten different antigen concentrations in the range of 10-200 nM. Then, the equilibrium dissociation constant (unit M) of the reaction between the antibody and the target antigen is calculated according to the following automatic mechanical rate constant: K D = k off / k on . The binding is recorded over time and the kinetic rate constant is calculated. In this test, the association rate as fast as 10 6 M -1 s -1 and the dissociation rate as slow as 10 -6 s -1 can be measured. Table 13 shows the results of the affinity measurement of human anti-IL-1β antibodies.

Figure TWI615405BD00073
Figure TWI615405BD00073

ND:未測出。 ND: Not detected.

實例3:IL-1α/β DVD-IgExample 3: IL-1α / β DVD-Ig TMTM 分子之產生Birth of molecules

實例3.1:構築IL-1α/β DVD-Ig DNA構築體Example 3.1: Construction of IL-1α / β DVD-Ig DNA construct

藉由重疊PCR擴增用插入連接子DNA序列將抗IL-1α抗體(「X3」;參見PCT公開案第WO 95/14780號)可變域與多個IL-1β抗體可變域組合成DVD-Ig形式(Wu等人,Nature Biotechnol.,25:1290-1297(2007);PCT公開案第WO 2007/024715 A2號)。X3亦在可變重鏈及輕鏈區之J區中突變(分別稱作X3 JM VH及X3 JM VL),以移除非生殖系構架突變。經擴增之PCR產物經次選殖入適於在HEK293細胞中短暫表現的表現載體中且藉由在DVD-Ig表現前測序來確定開放閱讀框架區。 An anti-IL-1α antibody ("X3"; see PCT Publication No. WO 95/14780) variable domain and multiple IL-1β antibody variable domains are combined into a DVD by overlapping PCR amplification with an insert linker DNA sequence -Ig form (Wu et al ., Nature Biotechnol. , 25: 1290-1297 (2007); PCT Publication No. WO 2007/024715 A2). X3 is also mutated in the J region of the variable heavy and light chain regions (referred to as X3 JM VH and X3 JM VL, respectively) to remove non-germline framework mutations. The amplified PCR product was sub-selected into a performance vector suitable for transient expression in HEK293 cells and the open reading frame region was determined by sequencing before DVD-Ig expression.

實例3.2:IL-1α/β DVD-Ig結合蛋白之表現及產生Example 3.2: Expression and production of IL-1α / β DVD-Ig binding protein

在確定DNA序列之後,在大腸桿菌中擴增所有DVD-Ig DNA構築體且使用Qiagen Hispeed Maxi Prep(目錄號12662,QIAGEN)純化 DNA。藉由在0.2μg/ml重鏈DNA及0.3μg/ml輕鏈DNA下將PEI與DNA以2:1比率混合而將DVD-Ig DNA轉染至對數期293E細胞(0.5×106/ml,存活力>95%)中。在TC櫥中在室溫下形成DNA:PEI複合物持續15分鐘,隨後添加至293E細胞中。20小時後,添加0.5% TN1至293E細胞。第5天,收集上清液以作人類IgG1效價量測。第7天收集細胞上清液且經由0.2μM PES過濾器過濾。藉由根據製造商之指示使用蛋白質A瓊脂糖親和層析法(Protein A Sepharose Affinity Chromatography)來純化上清液。用0.1M甘胺酸(pH 2.99)自管柱溶離出經純化DVD-Ig且立即透析至15mM組胺酸緩衝液(pH 6.0)中。藉由A280定量結合蛋白且利用質譜及SEC進行分析。 After determining the DNA sequence, all DVD-Ig DNA constructs were amplified in E. coli and the DNA was purified using Qiagen Hispeed Maxi Prep (catalog number 12662, QIAGEN). DVD-Ig DNA was transfected to log-phase 293E cells (0.5 × 10 6 / ml, by mixing PEI and DNA at a ratio of 2: 1 under 0.2 μg / ml heavy-chain DNA and 0.3 μg / ml light-chain DNA. (Viability> 95%). DNA: PEI complexes were formed in a TC cabinet at room temperature for 15 minutes and then added to 293E cells. After 20 hours, 0.5% TN1 to 293E cells were added. On day 5, the supernatant was collected for human IgG1 titer measurement. Cell supernatant was collected on day 7 and filtered through a 0.2 μM PES filter. The supernatant was purified by using Protein A Sepharose Affinity Chromatography according to the manufacturer's instructions. Purified DVD-Ig was eluted from the column with 0.1 M glycine (pH 2.99) and immediately dialyzed into 15 mM histidine buffer (pH 6.0). Binding proteins were quantified by A280 and analyzed by mass spectrometry and SEC.

實例3.3:IL-1α/β DVD-Ig構築體之序列Example 3.3: Sequence of IL-1α / β DVD-Ig Construct

測定能夠結合人類IL-1β及人類IL-1α之DVD-Ig蛋白之重鏈及輕鏈的胺基酸序列。IL-1α/β DVD-Ig結合蛋白之可變重鏈(VH)、可變輕鏈(VL)、恆定輕鏈(CL)及恆定重鏈(CH)區的胺基酸序列展示於下文表14中。在表14中,E26.13及E26.35 VL區之胺基酸序列分別被指定為SEQ ID NO:238及SEQ ID NO:239,替代先前於表10中所示之SEQ ID NO:205及SEQ ID NO:209,以解釋C端精胺酸(R)殘基的包括。熟習抗體工程改造之技術者將此C端精胺酸殘基理解為在IgG分子之VL及CL κ區接合處的胺基酸殘基且其有時包括於CL區或如下文表14中之VL區中。 The amino acid sequences of the heavy and light chains of DVD-Ig proteins capable of binding to human IL-1β and human IL-1α were determined. The amino acid sequences of the variable heavy chain (VH), variable light chain (VL), constant light chain (CL), and constant heavy chain (CH) regions of the IL-1α / β DVD-Ig binding protein are shown in the table below. 14 in. In Table 14, the amino acid sequences of the E26.13 and E26.35 VL regions are designated as SEQ ID NO: 238 and SEQ ID NO: 239, respectively, in place of SEQ ID NO: 205 and SEQ ID NO: 209 to explain the inclusion of the C-terminal arginine (R) residue. Those skilled in antibody engineering understand this C-terminal arginine residue as the amino acid residue at the junction of the VL and CL kappa regions of the IgG molecule, and it is sometimes included in the CL region or as shown in Table 14 below. In the VL region.

Figure TWI615405BD00074
Figure TWI615405BD00074
Figure TWI615405BD00075
Figure TWI615405BD00075
Figure TWI615405BD00076
Figure TWI615405BD00076
Figure TWI615405BD00077
Figure TWI615405BD00077
Figure TWI615405BD00078
Figure TWI615405BD00078
Figure TWI615405BD00079
Figure TWI615405BD00079
Figure TWI615405BD00080
Figure TWI615405BD00080
Figure TWI615405BD00081
Figure TWI615405BD00081
Figure TWI615405BD00082
Figure TWI615405BD00082
Figure TWI615405BD00083
Figure TWI615405BD00083
Figure TWI615405BD00084
Figure TWI615405BD00084
Figure TWI615405BD00085
Figure TWI615405BD00085
Figure TWI615405BD00086
Figure TWI615405BD00086
Figure TWI615405BD00087
Figure TWI615405BD00087
Figure TWI615405BD00088
Figure TWI615405BD00088
Figure TWI615405BD00089
Figure TWI615405BD00089
Figure TWI615405BD00090
Figure TWI615405BD00090
Figure TWI615405BD00091
Figure TWI615405BD00091
Figure TWI615405BD00092
Figure TWI615405BD00092
Figure TWI615405BD00093
Figure TWI615405BD00093
Figure TWI615405BD00094
Figure TWI615405BD00094

連接子序列以帶下劃線之殘基指示。 Linker sequences are indicated by underlined residues.

實例4:IL-1α/β DVD-Ig蛋白之功能表徵Example 4: Functional Characterization of IL-1α / β DVD-Ig Protein

實例4.1:IL-1α/β酶聯免疫吸附檢定方案Example 4.1: IL-1α / β enzyme-linked immunosorbent assay scheme

藉由ELISA(上文所述之檢定,實例2.1)評估IL-1β/α DVD-Ig結合 蛋白對IL-1β及IL-1α之結合。結果展示於表15中。 Evaluation of IL-1β / α DVD-Ig binding by ELISA (assay described above, Example 2.1) Protein binding to IL-1β and IL-1α. The results are shown in Table 15.

Figure TWI615405BD00095
Figure TWI615405BD00095

實例4.2:IL-1α/β生物檢定及中和檢定Example 4.2: IL-1α / β bioassay and neutralization test

依每孔1.5-2×104個細胞之密度以100μL體積塗覆MRC5細胞且在37℃、5% CO2下培育隔夜。於完全MEM培養基中製備20μg/mL之DVD-Ig工作儲備液(4倍濃縮)。在Marsh稀釋盤中用完全MEM進行8個點的連續稀釋(5μg/mL-0.0003μg/mL)。依一式四份向96孔v形底(Costar第3894號)盤中添加每孔65μL之各抗體稀釋液以及65μL之200pg/mL IL-1α或IL-1β溶液或65μL之含有50pg/mL IL-1α與IL-1β溶液兩者的混合溶液。對照孔接受65μL 200pg/ml之IL-1α或IL-1β或50pg/mL混合IL-1α/β(4倍濃縮)加上65μL MEM培養基且培養基對照孔接受130μL培養基。在培育1小時後,將100μL DVD-Ig/Ag混合物添加至MRC5細胞中。所有孔體積皆等於200μL。隨後將所有盤試劑1倍濃縮。在培育16-20小時後,將孔內含物(150μL)轉移至96孔圓底盤(Costar第3799號)中且置於-20℃冷凍器中。藉由使用人類IL-8 ELISA套組(R&D Systems,Minneapolis,Minnesota)或MSD hIL-8(化學發光套組)測試上清液中之hIL-8含量。藉由計算相對於IL-1α、IL-1β或單獨IL-1α/β對照值之抑制百分比來求出中和效能(表16)。 MRC5 cells were coated in a volume of 100 μL at a density of 1.5-2 × 10 4 cells per well and incubated overnight at 37 ° C. and 5% CO 2 . 20 μg / mL DVD-Ig working stock solution (4-fold concentrated) was prepared in complete MEM medium. Eight-point serial dilutions (5 μg / mL-0.0003 μg / mL) were performed with complete MEM in a Marsh dilution plate. Add 65 μL of each antibody dilution and 65 μL of 200 pg / mL IL-1α or IL-1β solution or 65 μL of 50 pg / mL IL- to a 96-well v-bottom (Costar No. 3894) dish in quadruplicate. A mixed solution of both 1α and IL-1β solutions. Control wells received 65 μL of 200 pg / ml of IL-1α or IL-1β or 50 pg / mL of mixed IL-1α / β (4-fold concentrated) plus 65 μL of MEM medium and the medium control wells received 130 μL of medium. After 1 hour of incubation, 100 μL of DVD-Ig / Ag mixture was added to MRC5 cells. All pore volumes are equal to 200 μL. All disk reagents were then concentrated 1x. After 16-20 hours of incubation, the well contents (150 μL) were transferred to a 96-well round bottom plate (Costar No. 3799) and placed in a -20 ° C freezer. The hIL-8 content in the supernatant was tested by using a human IL-8 ELISA kit (R & D Systems, Minneapolis, Minnesota) or MSD hIL-8 (chemiluminescence kit). Neutralizing potency was calculated by calculating the percentage inhibition with respect to the IL-1α, IL-1β, or IL-1α / β control values alone (Table 16).

Figure TWI615405BD00096
Figure TWI615405BD00096

ND:未測出。 ND: Not detected.

實例4.3:IL-1α/β DVD-Ig分子之親和力量測Example 4.3: Affinity measurement of IL-1α / β DVD-Ig molecules

使用如實例2.3中所述之表面電漿子共振測定IL-1α/β DVD-Ig與經純化之重組人類IL-1β及IL-1α以及獼猴IL-1β及IL-1α的結合且結果展示於表17中。 Binding of IL-1α / β DVD-Ig to purified recombinant human IL-1β and IL-1α and cynomolgus IL-1β and IL-1α was determined using surface plasmon resonance as described in Example 2.3 and the results are shown in In Table 17.

Figure TWI615405BD00097
Figure TWI615405BD00097

以引用的方式併入Incorporated by reference

本發明以全文引用的方式合併分子生物學及藥物傳遞領域中所熟 知之技術。此等技術包括(但不限於)以下出版物中所述之技術:Ausubel等人(編),Current Protocols in Molecular Biology,John Wiley & Sons,NY(1993);Ausubel,F.M.等人編,Short Protocols In Molecular Biology(第4版,1999)John Wiley & Sons,NY.(ISBN 0-471-32938-X);Controlled Drug Bioavailability Drug Product Design and Performance,Smolen及Ball(編),Wiley,New York(1984);Giegé等人,第1章,Crystallization of Nucleic Acids and Proteins,Practical Approach,第2版,(Ducruix及Giegé編)(Oxford University Press,New York,1999)第1-16頁;Goodson,J.M.,第6章,Medical Applications of Controlled Release,第II卷,Applications and Evaluation,(Langer及Wise編)(CRC Press,Inc.,Boca Raton,1984),第115-138頁;Hammerling等人編,「Monoclonal Antibodies and T-Cell Hybridomas」,Research Monographs in Immunology,第3卷(J.L.Turk,總編輯)(Elsevier,New York,1981),第563-587頁;Harlow等人,Antibodies:A Laboratory Manual,(Cold Spring Harbor Laboratory Press,第2版,1988);Kabat等人,Sequences of Proteins of Immunological Interest(National Institutes of Health,Bethesda,Md.(1987));Kabat,E.A.等人,(1991)Sequences of Proteins of Immunological Interest,第5版,U.S.Department of Health and Human Services,NIH出版號:91-3242;Kontermann及Dübel編,Antibody Engineering(2001)Springer-Verlag.New York.第790頁(ISBN 3-540-41354-5);Kriegler,Gene Transfer and Expression,A Laboratory Manual,Stockton Press,NY(1990);Lu及Weiner編,Cloning and Expression Vectors for Gene Function Analysis(2001)BioTechniques Press.Westborough,Mass.第298頁(ISBN 1-881299-21-X);Goodson,J.M.,Medical Applications of Controlled Release,(Langer及Wise編) (CRC Press,Boca Raton,1974);Old及Primrose,Principles of Gene Manipulation:An Introduction To Genetic Engineering(第3版,1985)Blackwell Scientific Publications,Boston;Studies in Microbiology,第2卷:第409頁(ISBN 0-632-01318-4):Sambrook,J.等人,Molecular Cloning:A Laboratory Manual(第2版,1989)Cold Spring Harbor Laboratory Press,NY.第1-3卷(ISBN 0-87969-309-6);Sustained and Controlled Release Drug Delivery Systems,(J.R.Robinson編)(Marcel Dekker,Inc.,New York,1978);Winnacker,E.L.From Genes To Clones:Introduction To Gene Technology(1987)VCH Publishers,N.Y.(由Horst Ibelgaufts翻譯),第634頁(ISBN 0-89573-614-4)。 The present invention incorporates, by reference in its entirety, techniques well known in the fields of molecular biology and drug delivery. Such techniques include, but are not limited to, those described in the following publications: Ausubel et al. (Eds.), Current Protocols in Molecular Biology , John Wiley & Sons, NY (1993); Ausubel, FM et al., Short Protocols In Molecular Biology (4th edition, 1999) John Wiley & Sons, NY. (ISBN 0-471-32938-X); Controlled Drug Bioavailability Drug Product Design and Performance , Smolen and Ball (eds.), Wiley, New York (1984) ); Giegé et al., Chapter 1, Crystallization of Nucleic Acids and Proteins, Practical Approach, 2nd Edition , (ed. Ducruix and Giegé) (Oxford University Press, New York, 1999) pp. 1-16; Goodson, JM, Chapter 6, Medical Applications of Controlled Release, Volume II, Applications and Evaluation , (Langer and Wise) (CRC Press, Inc., Boca Raton, 1984), pp. 115-138; Hammerling et al., "Monoclonal Antibodies and T-Cell Hybridomas ", Research Monographs in Immunology , Volume 3 (JLTurk, Editor-in-Chief) (Elsevier, New York, 1981), pp. 563-587; Harlow et al., Antibodies: A Laboratory Manual , (Cold Spring Harbor Lab oratory Press, 2nd edition, 1988); Kabat et al., Sequences of Proteins of Immunological Interest (National Institutes of Health, Bethesda, Md. (1987)); Kabat, EA et al. (1991) Sequences of Proteins of Immunological Interest , 5th Edition, USDepartment of Health and Human Services, NIH Publication Number: 91-3242; Edited by Kontermann and Dübel, Antibody Engineering (2001) Springer-Verlag. New York. Page 790 (ISBN 3-540-41354-5) Kriegler, Gene Transfer and Expression, A Laboratory Manual , Stockton Press, NY (1990); Edited by Lu and Weiner, Cloning and Expression Vectors for Gene Function Analysis (2001) BioTechniques Press. Westborough, Mass. P. 298 (ISBN 1- 881299-21-X); Goodson, JM, Medical Applications of Controlled Release , (ed. By Langer and Wise) (CRC Press, Boca Raton, 1974); Old and Primrose, Principles of Gene Manipulation: An Introduction To Genetic Engineering (No. 3 Edition, 1985) Blackwell Scientific Publications, Boston; Studies in Microbiology , Volume 2: Page 409 (ISBN 0-632-01318-4): Sambrook, J. et al., Molecul ar Cloning: A Laboratory Manual (2nd edition, 1989) Cold Spring Harbor Laboratory Press, NY. Volumes 1-3 (ISBN 0-87969-309-6); Sustained and Controlled Release Drug Delivery Systems , (edited by JR Robinson) ( Marcel Dekker, Inc., New York, 1978); Winnacker, EL From Genes To Clones: Introduction To Gene Technology (1987) VCH Publishers, NY (translated by Horst Ibelgaufts), p. 634 (ISBN 0-89573-614-4 ).

貫穿本申請案所引用之所有參考資料(包括參考文獻、專利、專利申請案及網站)的內容據此以全文引用的方式明確地併入本文中,其中引用之參考資料亦如此。除非另外說明,否則本發明之實施將採用此項技術中所熟知之免疫學、分子生物學及細胞生物學的習知技術。 The contents of all references (including references, patents, patent applications, and websites) cited throughout this application are hereby expressly incorporated herein by reference in their entirety, as are the references cited therein. Unless otherwise stated, the practice of the present invention will employ conventional techniques of immunology, molecular biology, and cell biology well known in the art.

等效形式Equivalent form

在不背離本發明之精神或基本特徵的情況下可以其他特定形式實施本發明。因此,就各方面而言上述實施例應視作說明性的而非限制本文所述之本發明。因此,本發明之範疇係由隨附申請專利範圍而非由上述描述所指示,且因此屬於申請專利範圍之等效性含義及範圍內的所有變化均意欲包涵於本文中。 The invention may be embodied in other specific forms without departing from the spirit or essential characteristics thereof. Therefore, the above-described embodiments are to be considered in all respects as illustrative and not restrictive of the invention described herein. Therefore, the scope of the present invention is indicated by the scope of the accompanying patent application rather than by the above description, and therefore all variations that fall within the meaning and range of equivalency of the scope of patent application are intended to be included herein.

<110> 美商亞培公司 <110> American Abbott Corporation

<120> IL-1結合蛋白 <120> IL-1 binding protein

<130> ABT-121.2 TW <130> ABT-121.2 TW

<140> 100116951 <140> 100116951

<141> 2001-05-13 <141> 2001-05-13

<150> 61/425,701 <150> 61 / 425,701

<151> 2010-12-21 <151> 2010-12-21

<150> 61/334,917 <150> 61 / 334,917

<151> 2010-05-14 <151> 2010-05-14

<160> 381 <160> 381

<170> PatentIn version 3.5 <170> PatentIn version 3.5

<210> 1 <210> 1

<211> 159 <211> 159

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 1

Figure TWI615405BD00098
<400> 1
Figure TWI615405BD00098

<210> 2 <210> 2

<211> 153 <211> 153

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 2

Figure TWI615405BD00099
Figure TWI615405BD00100
<400> 2
Figure TWI615405BD00099
Figure TWI615405BD00100

<210> 3 <210> 3

<211> 330 <211> 330

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 3

Figure TWI615405BD00101
Figure TWI615405BD00102
<400> 3
Figure TWI615405BD00101
Figure TWI615405BD00102

<210> 4 <210> 4

<211> 330 <211> 330

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 4

Figure TWI615405BD00103
Figure TWI615405BD00104
<400> 4
Figure TWI615405BD00103
Figure TWI615405BD00104

<210> 5 <210> 5

<211> 106 <211> 106

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 5

Figure TWI615405BD00105
Figure TWI615405BD00106
<400> 5
Figure TWI615405BD00105
Figure TWI615405BD00106

<210> 6 <210> 6

<211> 105 <211> 105

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 6

Figure TWI615405BD00107
<400> 6
Figure TWI615405BD00107

<210> 7 <210> 7

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 7

Figure TWI615405BD00108
<400> 7
Figure TWI615405BD00108

<210> 8 <210> 8

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 8

Figure TWI615405BD00109
<400> 8
Figure TWI615405BD00109

<210> 9 <210> 9

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 9

Figure TWI615405BD00110
<400> 9
Figure TWI615405BD00110

<210> 10 <210> 10

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 10

Figure TWI615405BD00111
<400> 10
Figure TWI615405BD00111

<210> 11 <210> 11

<211> 4 <211> 4

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (3)..(3) <222> (3) .. (3)

<223> 任何胺基酸 <223> Any amino acid

<400> 11

Figure TWI615405BD00112
<400> 11
Figure TWI615405BD00112

<210> 12 <210> 12

<211> 9 <211> 9

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (2)..(9) <222> (2) .. (9)

<223> 任何胺基酸 <223> Any amino acid

<400> 12

Figure TWI615405BD00113
<400> 12
Figure TWI615405BD00113

<210> 13 <210> 13

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 13

Figure TWI615405BD00114
<400> 13
Figure TWI615405BD00114

<210> 14 <210> 14

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 14

Figure TWI615405BD00115
<400> 14
Figure TWI615405BD00115

<210> 15 <210> 15

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 15

Figure TWI615405BD00116
<400> 15
Figure TWI615405BD00116

<210> 16 <210> 16

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 16

Figure TWI615405BD00117
<400> 16
Figure TWI615405BD00117

<210> 17 <210> 17

<211> 5 <211> 5

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 17

Figure TWI615405BD00118
<400> 17
Figure TWI615405BD00118

<210> 18 <210> 18

<211> 17 <211> 17

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 18

Figure TWI615405BD00119
<400> 18
Figure TWI615405BD00119

<210> 19 <210> 19

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 19

Figure TWI615405BD00120
<400> 19
Figure TWI615405BD00120

<210> 20 <210> 20

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 20

Figure TWI615405BD00121
<400> 20
Figure TWI615405BD00121

<210> 21 <210> 21

<211> 7 <211> 7

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 21

Figure TWI615405BD00122
<400> 21
Figure TWI615405BD00122

<210> 22 <210> 22

<211> 9 <211> 9

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 22

Figure TWI615405BD00123
<400> 22
Figure TWI615405BD00123

<210> 23 <210> 23

<211> 5 <211> 5

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 23

Figure TWI615405BD00124
<400> 23
Figure TWI615405BD00124

<210> 24 <210> 24

<211> 4 <211> 4

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (3)..(3) <222> (3) .. (3)

<223> 任何胺基酸 <223> Any amino acid

<400> 24

Figure TWI615405BD00125
<400> 24
Figure TWI615405BD00125

<210> 25 <210> 25

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 25

Figure TWI615405BD00126
<400> 25
Figure TWI615405BD00126

<210> 26 <210> 26

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 26

Figure TWI615405BD00127
<400> 26
Figure TWI615405BD00127

<210> 27 <210> 27

<211> 5 <211> 5

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 27

Figure TWI615405BD00128
<400> 27
Figure TWI615405BD00128

<210> 28 <210> 28

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 28

Figure TWI615405BD00129
<400> 28
Figure TWI615405BD00129

<210> 29 <210> 29

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 29

Figure TWI615405BD00130
<400> 29
Figure TWI615405BD00130

<210> 30 <210> 30

<211> 13 <211> 13

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 30

Figure TWI615405BD00131
<400> 30
Figure TWI615405BD00131

<210> 31 <210> 31

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 31

Figure TWI615405BD00132
<400> 31
Figure TWI615405BD00132

<210> 32 <210> 32

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 32

Figure TWI615405BD00133
<400> 32
Figure TWI615405BD00133

<210> 33 <210> 33

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 33

Figure TWI615405BD00134
<400> 33
Figure TWI615405BD00134

<210> 34 <210> 34

<211> 13 <211> 13

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 34

Figure TWI615405BD00135
<400> 34
Figure TWI615405BD00135

<210> 35 <210> 35

<211> 5 <211> 5

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 35

Figure TWI615405BD00136
<400> 35
Figure TWI615405BD00136

<210> 36 <210> 36

<211> 12 <211> 12

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 36

Figure TWI615405BD00137
<400> 36
Figure TWI615405BD00137

<210> 37 <210> 37

<211> 16 <211> 16

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 37

Figure TWI615405BD00138
<400> 37
Figure TWI615405BD00138

<210> 38 <210> 38

<211> 17 <211> 17

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 38

Figure TWI615405BD00139
<400> 38
Figure TWI615405BD00139

<210> 39 <210> 39

<211> 9 <211> 9

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 39

Figure TWI615405BD00140
<400> 39
Figure TWI615405BD00140

<210> 40 <210> 40

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 40

Figure TWI615405BD00141
<400> 40
Figure TWI615405BD00141

<210> 41 <210> 41

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 41

Figure TWI615405BD00142
<400> 41
Figure TWI615405BD00142

<210> 42 <210> 42

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 42

Figure TWI615405BD00143
<400> 42
Figure TWI615405BD00143

<210> 43 <210> 43

<211> 9 <211> 9

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 43

Figure TWI615405BD00144
<400> 43
Figure TWI615405BD00144

<210> 44 <210> 44

<211> 12 <211> 12

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 44

Figure TWI615405BD00145
<400> 44
Figure TWI615405BD00145

<210> 45 <210> 45

<211> 27 <211> 27

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 45

Figure TWI615405BD00146
<400> 45
Figure TWI615405BD00146

<210> 46 <210> 46

<211> 18 <211> 18

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 46

Figure TWI615405BD00147
<400> 46
Figure TWI615405BD00147

<210> 47 <210> 47

<211> 5 <211> 5

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 47

Figure TWI615405BD00148
<400> 47
Figure TWI615405BD00148

<210> 48 <210> 48

<211> 12 <211> 12

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 48

Figure TWI615405BD00149
<400> 48
Figure TWI615405BD00149

<210> 49 <210> 49

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 49

Figure TWI615405BD00150
<400> 49
Figure TWI615405BD00150

<210> 50 <210> 50

<211> 13 <211> 13

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 50

Figure TWI615405BD00151
<400> 50
Figure TWI615405BD00151

<210> 51 <210> 51

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 51

Figure TWI615405BD00152
<400> 51
Figure TWI615405BD00152

<210> 52 <210> 52

<211> 13 <211> 13

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 52

Figure TWI615405BD00153
<400> 52
Figure TWI615405BD00153

<210> 53 <210> 53

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 53

Figure TWI615405BD00154
<400> 53
Figure TWI615405BD00154

<210> 54 <210> 54

<211> 13 <211> 13

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 54

Figure TWI615405BD00155
<400> 54
Figure TWI615405BD00155

<210> 55 <210> 55

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 55

Figure TWI615405BD00156
<400> 55
Figure TWI615405BD00156

<210> 56 <210> 56

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 56

Figure TWI615405BD00157
<400> 56
Figure TWI615405BD00157

<210> 57 <210> 57

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 57

Figure TWI615405BD00158
<400> 57
Figure TWI615405BD00158

<210> 58 <210> 58

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 58

Figure TWI615405BD00159
<400> 58
Figure TWI615405BD00159

<210> 59 <210> 59

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 59

Figure TWI615405BD00160
Figure TWI615405BD00161
<400> 59
Figure TWI615405BD00160
Figure TWI615405BD00161

<210> 60 <210> 60

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 60

Figure TWI615405BD00162
<400> 60
Figure TWI615405BD00162

<210> 61 <210> 61

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 61

Figure TWI615405BD00163
<400> 61
Figure TWI615405BD00163

<210> 62 <210> 62

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 62

Figure TWI615405BD00164
<400> 62
Figure TWI615405BD00164

<210> 63 <210> 63

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 63

Figure TWI615405BD00165
<400> 63
Figure TWI615405BD00165

<210> 64 <210> 64

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 64

Figure TWI615405BD00166
Figure TWI615405BD00167
<400> 64
Figure TWI615405BD00166
Figure TWI615405BD00167

<210> 65 <210> 65

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 65

Figure TWI615405BD00168
<400> 65
Figure TWI615405BD00168

<210> 66 <210> 66

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 66

Figure TWI615405BD00169
Figure TWI615405BD00170
<400> 66
Figure TWI615405BD00169
Figure TWI615405BD00170

<210> 67 <210> 67

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 67

Figure TWI615405BD00171
<400> 67
Figure TWI615405BD00171

<210> 68 <210> 68

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 68

Figure TWI615405BD00172
Figure TWI615405BD00173
<400> 68
Figure TWI615405BD00172
Figure TWI615405BD00173

<210> 69 <210> 69

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 69

Figure TWI615405BD00174
<400> 69
Figure TWI615405BD00174

<210> 70 <210> 70

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 70

Figure TWI615405BD00175
<400> 70
Figure TWI615405BD00175

<210> 71 <210> 71

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 71

Figure TWI615405BD00176
Figure TWI615405BD00177
<400> 71
Figure TWI615405BD00176
Figure TWI615405BD00177

<210> 72 <210> 72

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 72

Figure TWI615405BD00178
<400> 72
Figure TWI615405BD00178

<210> 73 <210> 73

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 73

Figure TWI615405BD00179
Figure TWI615405BD00180
<400> 73
Figure TWI615405BD00179
Figure TWI615405BD00180

<210> 74 <210> 74

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 74

Figure TWI615405BD00181
<400> 74
Figure TWI615405BD00181

<210> 75 <210> 75

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 75

Figure TWI615405BD00182
Figure TWI615405BD00183
<400> 75
Figure TWI615405BD00182
Figure TWI615405BD00183

<210> 76 <210> 76

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 76

Figure TWI615405BD00184
<400> 76
Figure TWI615405BD00184

<210> 77 <210> 77

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 77

Figure TWI615405BD00185
Figure TWI615405BD00186
<400> 77
Figure TWI615405BD00185
Figure TWI615405BD00186

<210> 78 <210> 78

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 78

Figure TWI615405BD00187
<400> 78
Figure TWI615405BD00187

<210> 79 <210> 79

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 79

Figure TWI615405BD00188
<400> 79
Figure TWI615405BD00188

<210> 80 <210> 80

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 80

Figure TWI615405BD00189
Figure TWI615405BD00190
<400> 80
Figure TWI615405BD00189
Figure TWI615405BD00190

<210> 81 <210> 81

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 81

Figure TWI615405BD00191
<400> 81
Figure TWI615405BD00191

<210> 82 <210> 82

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 82

Figure TWI615405BD00192
Figure TWI615405BD00193
<400> 82
Figure TWI615405BD00192
Figure TWI615405BD00193

<210> 83 <210> 83

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 83

Figure TWI615405BD00194
<400> 83
Figure TWI615405BD00194

<210> 84 <210> 84

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 84

Figure TWI615405BD00195
Figure TWI615405BD00196
<400> 84
Figure TWI615405BD00195
Figure TWI615405BD00196

<210> 85 <210> 85

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 85

Figure TWI615405BD00197
<400> 85
Figure TWI615405BD00197

<210> 86 <210> 86

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 86

Figure TWI615405BD00198
<400> 86
Figure TWI615405BD00198

<210> 87 <210> 87

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 87

Figure TWI615405BD00199
<400> 87
Figure TWI615405BD00199

<210> 88 <210> 88

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 88

Figure TWI615405BD00200
<400> 88
Figure TWI615405BD00200

<210> 89 <210> 89

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 89

Figure TWI615405BD00201
Figure TWI615405BD00202
<400> 89
Figure TWI615405BD00201
Figure TWI615405BD00202

<210> 90 <210> 90

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 90

Figure TWI615405BD00203
<400> 90
Figure TWI615405BD00203

<210> 91 <210> 91

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 91

Figure TWI615405BD00204
Figure TWI615405BD00205
<400> 91
Figure TWI615405BD00204
Figure TWI615405BD00205

<210> 92 <210> 92

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 92

Figure TWI615405BD00206
<400> 92
Figure TWI615405BD00206

<210> 93 <210> 93

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 93

Figure TWI615405BD00207
Figure TWI615405BD00208
<400> 93
Figure TWI615405BD00207
Figure TWI615405BD00208

<210> 94 <210> 94

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 94

Figure TWI615405BD00209
<400> 94
Figure TWI615405BD00209

<210> 95 <210> 95

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 95

Figure TWI615405BD00210
<400> 95
Figure TWI615405BD00210

<210> 96 <210> 96

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 96

Figure TWI615405BD00211
Figure TWI615405BD00212
<400> 96
Figure TWI615405BD00211
Figure TWI615405BD00212

<210> 97 <210> 97

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 97

Figure TWI615405BD00213
<400> 97
Figure TWI615405BD00213

<210> 98 <210> 98

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 98

Figure TWI615405BD00214
Figure TWI615405BD00215
<400> 98
Figure TWI615405BD00214
Figure TWI615405BD00215

<210> 99 <210> 99

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 99

Figure TWI615405BD00216
<400> 99
Figure TWI615405BD00216

<210> 100 <210> 100

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 100

Figure TWI615405BD00217
Figure TWI615405BD00218
<400> 100
Figure TWI615405BD00217
Figure TWI615405BD00218

<210> 101 <210> 101

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 101

Figure TWI615405BD00219
<400> 101
Figure TWI615405BD00219

<210> 102 <210> 102

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 102

Figure TWI615405BD00220
Figure TWI615405BD00221
<400> 102
Figure TWI615405BD00220
Figure TWI615405BD00221

<210> 103 <210> 103

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 103

Figure TWI615405BD00222
<400> 103
Figure TWI615405BD00222

<210> 104 <210> 104

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 104

Figure TWI615405BD00223
<400> 104
Figure TWI615405BD00223

<210> 105 <210> 105

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 105

Figure TWI615405BD00224
Figure TWI615405BD00225
<400> 105
Figure TWI615405BD00224
Figure TWI615405BD00225

<210> 106 <210> 106

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 106

Figure TWI615405BD00226
<400> 106
Figure TWI615405BD00226

<210> 107 <210> 107

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 107

Figure TWI615405BD00227
Figure TWI615405BD00228
<400> 107
Figure TWI615405BD00227
Figure TWI615405BD00228

<210> 108 <210> 108

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 108

Figure TWI615405BD00229
<400> 108
Figure TWI615405BD00229

<210> 109 <210> 109

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 109

Figure TWI615405BD00230
Figure TWI615405BD00231
<400> 109
Figure TWI615405BD00230
Figure TWI615405BD00231

<210> 110 <210> 110

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 110

Figure TWI615405BD00232
<400> 110
Figure TWI615405BD00232

<210> 111 <210> 111

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 111

Figure TWI615405BD00233
<400> 111
Figure TWI615405BD00233

<210> 112 <210> 112

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 112

Figure TWI615405BD00234
<400> 112
Figure TWI615405BD00234

<210> 113 <210> 113

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 113

Figure TWI615405BD00235
<400> 113
Figure TWI615405BD00235

<210> 114 <210> 114

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 114

Figure TWI615405BD00236
Figure TWI615405BD00237
<400> 114
Figure TWI615405BD00236
Figure TWI615405BD00237

<210> 115 <210> 115

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 115

Figure TWI615405BD00238
<400> 115
Figure TWI615405BD00238

<210> 116 <210> 116

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 116

Figure TWI615405BD00239
Figure TWI615405BD00240
<400> 116
Figure TWI615405BD00239
Figure TWI615405BD00240

<210> 117 <210> 117

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 117

Figure TWI615405BD00241
<400> 117
Figure TWI615405BD00241

<210> 118 <210> 118

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 118

Figure TWI615405BD00242
Figure TWI615405BD00243
<400> 118
Figure TWI615405BD00242
Figure TWI615405BD00243

<210> 119 <210> 119

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 119

Figure TWI615405BD00244
<400> 119
Figure TWI615405BD00244

<210> 120 <210> 120

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 120

Figure TWI615405BD00245
<400> 120
Figure TWI615405BD00245

<210> 121 <210> 121

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 121

Figure TWI615405BD00246
Figure TWI615405BD00247
<400> 121
Figure TWI615405BD00246
Figure TWI615405BD00247

<210> 122 <210> 122

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 122

Figure TWI615405BD00248
<400> 122
Figure TWI615405BD00248

<210> 123 <210> 123

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 123

Figure TWI615405BD00249
Figure TWI615405BD00250
<400> 123
Figure TWI615405BD00249
Figure TWI615405BD00250

<210> 124 <210> 124

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 124

Figure TWI615405BD00251
<400> 124
Figure TWI615405BD00251

<210> 125 <210> 125

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 125

Figure TWI615405BD00252
Figure TWI615405BD00253
<400> 125
Figure TWI615405BD00252
Figure TWI615405BD00253

<210> 126 <210> 126

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 126

Figure TWI615405BD00254
<400> 126
Figure TWI615405BD00254

<210> 127 <210> 127

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 127

Figure TWI615405BD00255
Figure TWI615405BD00256
<400> 127
Figure TWI615405BD00255
Figure TWI615405BD00256

<210> 128 <210> 128

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 128

Figure TWI615405BD00257
<400> 128
Figure TWI615405BD00257

<210> 129 <210> 129

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 129

Figure TWI615405BD00258
<400> 129
Figure TWI615405BD00258

<210> 130 <210> 130

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 130

Figure TWI615405BD00259
Figure TWI615405BD00260
<400> 130
Figure TWI615405BD00259
Figure TWI615405BD00260

<210> 131 <210> 131

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 131

Figure TWI615405BD00261
<400> 131
Figure TWI615405BD00261

<210> 132 <210> 132

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 132

Figure TWI615405BD00262
Figure TWI615405BD00263
<400> 132
Figure TWI615405BD00262
Figure TWI615405BD00263

<210> 133 <210> 133

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 133

Figure TWI615405BD00264
<400> 133
Figure TWI615405BD00264

<210> 134 <210> 134

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 134

Figure TWI615405BD00265
Figure TWI615405BD00266
<400> 134
Figure TWI615405BD00265
Figure TWI615405BD00266

<210> 135 <210> 135

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 135

Figure TWI615405BD00267
<400> 135
Figure TWI615405BD00267

<210> 136 <210> 136

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 136

Figure TWI615405BD00268
<400> 136
Figure TWI615405BD00268

<210> 137 <210> 137

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 137

Figure TWI615405BD00269
<400> 137
Figure TWI615405BD00269

<210> 138 <210> 138

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 138

Figure TWI615405BD00270
<400> 138
Figure TWI615405BD00270

<210> 139 <210> 139

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 139

Figure TWI615405BD00271
Figure TWI615405BD00272
<400> 139
Figure TWI615405BD00271
Figure TWI615405BD00272

<210> 140 <210> 140

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 140

Figure TWI615405BD00273
<400> 140
Figure TWI615405BD00273

<210> 141 <210> 141

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 141

Figure TWI615405BD00274
Figure TWI615405BD00275
<400> 141
Figure TWI615405BD00274
Figure TWI615405BD00275

<210> 142 <210> 142

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 142

Figure TWI615405BD00276
<400> 142
Figure TWI615405BD00276

<210> 143 <210> 143

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 143

Figure TWI615405BD00277
Figure TWI615405BD00278
<400> 143
Figure TWI615405BD00277
Figure TWI615405BD00278

<210> 144 <210> 144

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 144

Figure TWI615405BD00279
<400> 144
Figure TWI615405BD00279

<210> 145 <210> 145

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 145

Figure TWI615405BD00280
<400> 145
Figure TWI615405BD00280

<210> 146 <210> 146

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 146

Figure TWI615405BD00281
Figure TWI615405BD00282
<400> 146
Figure TWI615405BD00281
Figure TWI615405BD00282

<210> 147 <210> 147

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 147

Figure TWI615405BD00283
<400> 147
Figure TWI615405BD00283

<210> 148 <210> 148

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 148

Figure TWI615405BD00284
Figure TWI615405BD00285
<400> 148
Figure TWI615405BD00284
Figure TWI615405BD00285

<210> 149 <210> 149

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 149

Figure TWI615405BD00286
<400> 149
Figure TWI615405BD00286

<210> 150 <210> 150

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 150

Figure TWI615405BD00287
Figure TWI615405BD00288
<400> 150
Figure TWI615405BD00287
Figure TWI615405BD00288

<210> 151 <210> 151

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 151

Figure TWI615405BD00289
<400> 151
Figure TWI615405BD00289

<210> 152 <210> 152

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 152

Figure TWI615405BD00290
Figure TWI615405BD00291
<400> 152
Figure TWI615405BD00290
Figure TWI615405BD00291

<210> 153 <210> 153

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 153

Figure TWI615405BD00292
<400> 153
Figure TWI615405BD00292

<210> 154 <210> 154

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 154

Figure TWI615405BD00293
Figure TWI615405BD00294
<400> 154
Figure TWI615405BD00293
Figure TWI615405BD00294

<210> 155 <210> 155

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 155

Figure TWI615405BD00295
<400> 155
Figure TWI615405BD00295

<210> 156 <210> 156

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 156

Figure TWI615405BD00296
Figure TWI615405BD00297
<400> 156
Figure TWI615405BD00296
Figure TWI615405BD00297

<210> 157 <210> 157

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 157

Figure TWI615405BD00298
<400> 157
Figure TWI615405BD00298

<210> 158 <210> 158

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 158

Figure TWI615405BD00299
Figure TWI615405BD00300
<400> 158
Figure TWI615405BD00299
Figure TWI615405BD00300

<210> 159 <210> 159

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 159

Figure TWI615405BD00301
<400> 159
Figure TWI615405BD00301

<210> 160 <210> 160

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 160

Figure TWI615405BD00302
Figure TWI615405BD00303
<400> 160
Figure TWI615405BD00302
Figure TWI615405BD00303

<210> 161 <210> 161

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 161

Figure TWI615405BD00304
<400> 161
Figure TWI615405BD00304

<210> 162 <210> 162

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 162

Figure TWI615405BD00305
Figure TWI615405BD00306
<400> 162
Figure TWI615405BD00305
Figure TWI615405BD00306

<210> 163 <210> 163

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 163

Figure TWI615405BD00307
<400> 163
Figure TWI615405BD00307

<210> 164 <210> 164

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 164

Figure TWI615405BD00308
Figure TWI615405BD00309
<400> 164
Figure TWI615405BD00308
Figure TWI615405BD00309

<210> 165 <210> 165

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 165

Figure TWI615405BD00310
<400> 165
Figure TWI615405BD00310

<210> 166 <210> 166

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 166

Figure TWI615405BD00311
Figure TWI615405BD00312
<400> 166
Figure TWI615405BD00311
Figure TWI615405BD00312

<210> 167 <210> 167

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 167

Figure TWI615405BD00313
<400> 167
Figure TWI615405BD00313

<210> 168 <210> 168

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 168

Figure TWI615405BD00314
Figure TWI615405BD00315
<400> 168
Figure TWI615405BD00314
Figure TWI615405BD00315

<210> 169 <210> 169

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 169

Figure TWI615405BD00316
<400> 169
Figure TWI615405BD00316

<210> 170 <210> 170

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 170

Figure TWI615405BD00317
Figure TWI615405BD00318
<400> 170
Figure TWI615405BD00317
Figure TWI615405BD00318

<210> 171 <210> 171

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 171

Figure TWI615405BD00319
<400> 171
Figure TWI615405BD00319

<210> 172 <210> 172

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 172

Figure TWI615405BD00320
Figure TWI615405BD00321
<400> 172
Figure TWI615405BD00320
Figure TWI615405BD00321

<210> 173 <210> 173

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 173

Figure TWI615405BD00322
<400> 173
Figure TWI615405BD00322

<210> 174 <210> 174

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 174

Figure TWI615405BD00323
Figure TWI615405BD00324
<400> 174
Figure TWI615405BD00323
Figure TWI615405BD00324

<210> 175 <210> 175

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 175

Figure TWI615405BD00325
<400> 175
Figure TWI615405BD00325

<210> 176 <210> 176

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 176

Figure TWI615405BD00326
Figure TWI615405BD00327
<400> 176
Figure TWI615405BD00326
Figure TWI615405BD00327

<210> 177 <210> 177

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 177

Figure TWI615405BD00328
<400> 177
Figure TWI615405BD00328

<210> 178 <210> 178

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 178

Figure TWI615405BD00329
Figure TWI615405BD00330
<400> 178
Figure TWI615405BD00329
Figure TWI615405BD00330

<210> 179 <210> 179

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 179

Figure TWI615405BD00331
<400> 179
Figure TWI615405BD00331

<210> 180 <210> 180

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 180

Figure TWI615405BD00332
<400> 180
Figure TWI615405BD00332

<210> 181 <210> 181

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 181

Figure TWI615405BD00333
<400> 181
Figure TWI615405BD00333

<210> 182 <210> 182

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 182

Figure TWI615405BD00334
<400> 182
Figure TWI615405BD00334

<210> 183 <210> 183

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 183

Figure TWI615405BD00335
<400> 183
Figure TWI615405BD00335

<210> 184 <210> 184

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 184

Figure TWI615405BD00336
<400> 184
Figure TWI615405BD00336

<210> 185 <210> 185

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 185

Figure TWI615405BD00337
<400> 185
Figure TWI615405BD00337

<210> 186 <210> 186

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 186

Figure TWI615405BD00338
<400> 186
Figure TWI615405BD00338

<210> 187 <210> 187

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 187

Figure TWI615405BD00339
<400> 187
Figure TWI615405BD00339

<210> 188 <210> 188

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 188

Figure TWI615405BD00340
<400> 188
Figure TWI615405BD00340

<210> 189 <210> 189

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 189

Figure TWI615405BD00341
<400> 189
Figure TWI615405BD00341

<210> 190 <210> 190

<211> 5 <211> 5

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (1)..(1) <222> (1) .. (1)

<223> Ser、Lys或Arg <223> Ser, Lys or Arg

<400> 190

Figure TWI615405BD00342
<400> 190
Figure TWI615405BD00342

<210> 191 <210> 191

<211> 17 <211> 17

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (2)..(2) <222> (2) .. (2)

<223> Ile或Val <223> Ile or Val

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (4)..(4) <222> (4) .. (4)

<223> Ser或His <223> Ser or His

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (7)..(7) <222> (7) .. (7)

<223> Gly或Ala <223> Gly or Ala

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (14)..(14) <222> (14) .. (14)

<223> Thr或Ser <223> Thr or Ser

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (15)..(15) <222> (15) .. (15)

<223> Val或Ala <223> Val or Ala

<400> 191

Figure TWI615405BD00343
<400> 191
Figure TWI615405BD00343

<210> 192 <210> 192

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (4)..(4) <222> (4) .. (4)

<223> Thr或Tyr <223> Thr or Tyr

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (7)..(7) <222> (7) .. (7)

<223> Tyr或Cys <223> Tyr or Cys

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (10)..(10) <222> (10) .. (10)

<223> Val、Glu、Leu、Met、Gln或Tyr <223> Val, Glu, Leu, Met, Gln, or Tyr

<400> 192

Figure TWI615405BD00344
<400> 192
Figure TWI615405BD00344

<210> 193 <210> 193

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (7)..(7) <222> (7) .. (7)

<223> His、Tyr或Trp <223> His, Tyr or Trp

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (8)..(8) <222> (8) .. (8)

<223> Asn、Gly、Thr、Gln、Glu、His、Asp或Lys <223> Asn, Gly, Thr, Gln, Glu, His, Asp, or Lys

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (9)..(9) <222> (9) .. (9)

<223> Tyr或Trp <223> Tyr or Trp

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (11)..(11) <222> (11) .. (11)

<223> Thr、Ala或Asn <223> Thr, Ala, or Asn

<400> 193

Figure TWI615405BD00345
<400> 193
Figure TWI615405BD00345

<210> 194 <210> 194

<211> 7 <211> 7

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (1)..(1) <222> (1) .. (1)

<223> Asn、Gln或Asp <223> Asn, Gln, or Asp

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (4)..(4) <222> (4) .. (4)

<223> Thr、Asn、Ile、Glu或Ser <223> Thr, Asn, Ile, Glu or Ser

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (6)..(6) <222> (6) .. (6)

<223> Ala、Met或Glu <223> Ala, Met or Glu

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (7)..(7) <222> (7) .. (7)

<223> Asp、Glu、Ser或Ala <223> Asp, Glu, Ser or Ala

<400> 194

Figure TWI615405BD00346
<400> 194
Figure TWI615405BD00346

<210> 195 <210> 195

<211> 9 <211> 9

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (2)..(2) <222> (2) .. (2)

<223> His或Gln <223> His or Gln

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (5)..(5) <222> (5) .. (5)

<223> Ser、Asn、Thr、Lys、Arg或Met <223> Ser, Asn, Thr, Lys, Arg or Met

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (6)..(6) <222> (6) .. (6)

<223> Ile或Leu <223> Ile or Leu

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (8)..(8) <222> (8) .. (8)

<223> Tyr或Ala <223> Tyr or Ala

<220> <220>

<221> MOD_RES <221> MOD_RES

<222> (9)..(9) <222> (9) .. (9)

<223> Thr、Ile或Asn <223> Thr, Ile, or Asn

<400> 195

Figure TWI615405BD00347
<400> 195
Figure TWI615405BD00347

<210> 196 <210> 196

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 196

Figure TWI615405BD00348
Figure TWI615405BD00349
<400> 196
Figure TWI615405BD00348
Figure TWI615405BD00349

<210> 197 <210> 197

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 197

Figure TWI615405BD00350
<400> 197
Figure TWI615405BD00350

<210> 198 <210> 198

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 198

Figure TWI615405BD00351
Figure TWI615405BD00352
<400> 198
Figure TWI615405BD00351
Figure TWI615405BD00352

<210> 199 <210> 199

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 199

Figure TWI615405BD00353
<400> 199
Figure TWI615405BD00353

<210> 200 <210> 200

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 200

Figure TWI615405BD00354
Figure TWI615405BD00355
<400> 200
Figure TWI615405BD00354
Figure TWI615405BD00355

<210> 201 <210> 201

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 201

Figure TWI615405BD00356
<400> 201
Figure TWI615405BD00356

<210> 202 <210> 202

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 202

Figure TWI615405BD00357
Figure TWI615405BD00358
<400> 202
Figure TWI615405BD00357
Figure TWI615405BD00358

<210> 203 <210> 203

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 203

Figure TWI615405BD00359
<400> 203
Figure TWI615405BD00359

<210> 204 <210> 204

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 204

Figure TWI615405BD00360
<400> 204
Figure TWI615405BD00360

<210> 205 <210> 205

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 205

Figure TWI615405BD00361
<400> 205
Figure TWI615405BD00361

<210> 206 <210> 206

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 206

Figure TWI615405BD00362
<400> 206
Figure TWI615405BD00362

<210> 207 <210> 207

<211> 108 <211> 108

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 207

Figure TWI615405BD00363
Figure TWI615405BD00364
<400> 207
Figure TWI615405BD00363
Figure TWI615405BD00364

<210> 208 <210> 208

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 208

Figure TWI615405BD00365
<400> 208
Figure TWI615405BD00365

<210> 209 <210> 209

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 209

Figure TWI615405BD00366
Figure TWI615405BD00367
<400> 209
Figure TWI615405BD00366
Figure TWI615405BD00367

<210> 210 <210> 210

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 210

Figure TWI615405BD00368
<400> 210
Figure TWI615405BD00368

<210> 211 <210> 211

<211> 107 <211> 107

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 211

Figure TWI615405BD00369
Figure TWI615405BD00370
<400> 211
Figure TWI615405BD00369
Figure TWI615405BD00370

<210> 212 <210> 212

<211> 247 <211> 247

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 212

Figure TWI615405BD00371
Figure TWI615405BD00372
<400> 212
Figure TWI615405BD00371
Figure TWI615405BD00372

<210> 213 <210> 213

<211> 122 <211> 122

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 213

Figure TWI615405BD00373
<400> 213
Figure TWI615405BD00373

<210> 214 <210> 214

<211> 330 <211> 330

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 214

Figure TWI615405BD00374
Figure TWI615405BD00375
<400> 214
Figure TWI615405BD00374
Figure TWI615405BD00375

<210> 215 <210> 215

<211> 221 <211> 221

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 215

Figure TWI615405BD00376
<400> 215
Figure TWI615405BD00376

<210> 216 <210> 216

<211> 108 <211> 108

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 216

Figure TWI615405BD00377
<400> 216
Figure TWI615405BD00377

<210> 217 <210> 217

<211> 254 <211> 254

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 217

Figure TWI615405BD00378
Figure TWI615405BD00379
<400> 217
Figure TWI615405BD00378
Figure TWI615405BD00379

<210> 218 <210> 218

<211> 228 <211> 228

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 218

Figure TWI615405BD00380
Figure TWI615405BD00381
<400> 218
Figure TWI615405BD00380
Figure TWI615405BD00381

<210> 219 <210> 219

<211> 247 <211> 247

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 219

Figure TWI615405BD00382
Figure TWI615405BD00383
<400> 219
Figure TWI615405BD00382
Figure TWI615405BD00383

<210> 220 <210> 220

<211> 221 <211> 221

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 220

Figure TWI615405BD00384
Figure TWI615405BD00385
<400> 220
Figure TWI615405BD00384
Figure TWI615405BD00385

<210> 221 <210> 221

<211> 254 <211> 254

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 221

Figure TWI615405BD00386
Figure TWI615405BD00387
<400> 221
Figure TWI615405BD00386
Figure TWI615405BD00387

<210> 222 <210> 222

<211> 228 <211> 228

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 222

Figure TWI615405BD00388
Figure TWI615405BD00389
<400> 222
Figure TWI615405BD00388
Figure TWI615405BD00389

<210> 223 <210> 223

<211> 9 <211> 9

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 223

Figure TWI615405BD00390
<400> 223
Figure TWI615405BD00390

<210> 224 <210> 224

<211> 6 <211> 6

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 224

Figure TWI615405BD00391
<400> 224
Figure TWI615405BD00391

<210> 225 <210> 225

<211> 13 <211> 13

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成肽 <223> Description of artificial sequence: synthetic peptide

<400> 225

Figure TWI615405BD00392
<400> 225
Figure TWI615405BD00392

<210> 226 <210> 226

<211> 247 <211> 247

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 226

Figure TWI615405BD00393
Figure TWI615405BD00394
<400> 226
Figure TWI615405BD00393
Figure TWI615405BD00394

<210> 227 <210> 227

<211> 122 <211> 122

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 227

Figure TWI615405BD00395
Figure TWI615405BD00396
<400> 227
Figure TWI615405BD00395
Figure TWI615405BD00396

<210> 228 <210> 228

<211> 221 <211> 221

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 228

Figure TWI615405BD00397
Figure TWI615405BD00398
<400> 228
Figure TWI615405BD00397
Figure TWI615405BD00398

<210> 229 <210> 229

<211> 108 <211> 108

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 229

Figure TWI615405BD00399
<400> 229
Figure TWI615405BD00399

<210> 230 <210> 230

<211> 247 <211> 247

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 230

Figure TWI615405BD00400
Figure TWI615405BD00401
<400> 230
Figure TWI615405BD00400
Figure TWI615405BD00401

<210> 231 <210> 231

<211> 221 <211> 221

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 231

Figure TWI615405BD00402
Figure TWI615405BD00403
<400> 231
Figure TWI615405BD00402
Figure TWI615405BD00403

<210> 232 <210> 232

<211> 247 <211> 247

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 232

Figure TWI615405BD00404
Figure TWI615405BD00405
<400> 232
Figure TWI615405BD00404
Figure TWI615405BD00405

<210> 233 <210> 233

<211> 221 <211> 221

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 233

Figure TWI615405BD00406
Figure TWI615405BD00407
<400> 233
Figure TWI615405BD00406
Figure TWI615405BD00407

<210> 234 <210> 234

<211> 247 <211> 247

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 234

Figure TWI615405BD00408
Figure TWI615405BD00409
<400> 234
Figure TWI615405BD00408
Figure TWI615405BD00409

<210> 235 <210> 235

<211> 221 <211> 221

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 235

Figure TWI615405BD00410
Figure TWI615405BD00411
<400> 235
Figure TWI615405BD00410
Figure TWI615405BD00411

<210> 236 <210> 236

<211> 254 <211> 254

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 236

Figure TWI615405BD00412
Figure TWI615405BD00413
<400> 236
Figure TWI615405BD00412
Figure TWI615405BD00413

<210> 237 <210> 237

<211> 228 <211> 228

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 237

Figure TWI615405BD00414
Figure TWI615405BD00415
<400> 237
Figure TWI615405BD00414
Figure TWI615405BD00415

<210> 238 <210> 238

<211> 108 <211> 108

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 238

Figure TWI615405BD00416
<400> 238
Figure TWI615405BD00416

<210> 239 <210> 239

<211> 108 <211> 108

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 239

Figure TWI615405BD00417
Figure TWI615405BD00418
<400> 239
Figure TWI615405BD00417
Figure TWI615405BD00418

<210> 240 <210> 240

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 240

Figure TWI615405BD00419
<400> 240
Figure TWI615405BD00419

<210> 241 <210> 241

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 241

Figure TWI615405BD00420
<400> 241
Figure TWI615405BD00420

<210> 242 <210> 242

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 242

Figure TWI615405BD00421
<400> 242
Figure TWI615405BD00421

<210> 243 <210> 243

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 243

Figure TWI615405BD00422
<400> 243
Figure TWI615405BD00422

<210> 244 <210> 244

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 244

Figure TWI615405BD00423
<400> 244
Figure TWI615405BD00423

<210> 245 <210> 245

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 245

Figure TWI615405BD00424
<400> 245
Figure TWI615405BD00424

<210> 246 <210> 246

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 246

Figure TWI615405BD00425
<400> 246
Figure TWI615405BD00425

<210> 247 <210> 247

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 247

Figure TWI615405BD00426
<400> 247
Figure TWI615405BD00426

<210> 248 <210> 248

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 248

Figure TWI615405BD00427
<400> 248
Figure TWI615405BD00427

<210> 249 <210> 249

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 249

Figure TWI615405BD00428
<400> 249
Figure TWI615405BD00428

<210> 250 <210> 250

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 250

Figure TWI615405BD00429
<400> 250
Figure TWI615405BD00429

<210> 251 <210> 251

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 251

Figure TWI615405BD00430
<400> 251
Figure TWI615405BD00430

<210> 252 <210> 252

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 252

Figure TWI615405BD00431
<400> 252
Figure TWI615405BD00431

<210> 253 <210> 253

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 253

Figure TWI615405BD00432
<400> 253
Figure TWI615405BD00432

<210> 254 <210> 254

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 254

Figure TWI615405BD00433
<400> 254
Figure TWI615405BD00433

<210> 255 <210> 255

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 255

Figure TWI615405BD00434
<400> 255
Figure TWI615405BD00434

<210> 256 <210> 256

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 256

Figure TWI615405BD00435
<400> 256
Figure TWI615405BD00435

<210> 257 <210> 257

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 257

Figure TWI615405BD00436
<400> 257
Figure TWI615405BD00436

<210> 258 <210> 258

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 258

Figure TWI615405BD00437
<400> 258
Figure TWI615405BD00437

<210> 259 <210> 259

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 259

Figure TWI615405BD00438
<400> 259
Figure TWI615405BD00438

<210> 260 <210> 260

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 260

Figure TWI615405BD00439
<400> 260
Figure TWI615405BD00439

<210> 261 <210> 261

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 261

Figure TWI615405BD00440
<400> 261
Figure TWI615405BD00440

<210> 262 <210> 262

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 262

Figure TWI615405BD00441
<400> 262
Figure TWI615405BD00441

<210> 263 <210> 263

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 263

Figure TWI615405BD00442
<400> 263
Figure TWI615405BD00442

<210> 264 <210> 264

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 264

Figure TWI615405BD00443
<400> 264
Figure TWI615405BD00443

<210> 265 <210> 265

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 265

Figure TWI615405BD00444
<400> 265
Figure TWI615405BD00444

<210> 266 <210> 266

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 266

Figure TWI615405BD00445
<400> 266
Figure TWI615405BD00445

<210> 267 <210> 267

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 267

Figure TWI615405BD00446
<400> 267
Figure TWI615405BD00446

<210> 268 <210> 268

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 268

Figure TWI615405BD00447
<400> 268
Figure TWI615405BD00447

<210> 269 <210> 269

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 269

Figure TWI615405BD00448
<400> 269
Figure TWI615405BD00448

<210> 270 <210> 270

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 270

Figure TWI615405BD00449
Figure TWI615405BD00450
<400> 270
Figure TWI615405BD00449
Figure TWI615405BD00450

<210> 271 <210> 271

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 271

Figure TWI615405BD00451
<400> 271
Figure TWI615405BD00451

<210> 272 <210> 272

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 272

Figure TWI615405BD00452
<400> 272
Figure TWI615405BD00452

<210> 273 <210> 273

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 273

Figure TWI615405BD00453
<400> 273
Figure TWI615405BD00453

<210> 274 <210> 274

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 274

Figure TWI615405BD00454
<400> 274
Figure TWI615405BD00454

<210> 275 <210> 275

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 275

Figure TWI615405BD00455
<400> 275
Figure TWI615405BD00455

<210> 276 <210> 276

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 276

Figure TWI615405BD00456
Figure TWI615405BD00457
<400> 276
Figure TWI615405BD00456
Figure TWI615405BD00457

<210> 277 <210> 277

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 277

Figure TWI615405BD00458
<400> 277
Figure TWI615405BD00458

<210> 278 <210> 278

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 278

Figure TWI615405BD00459
<400> 278
Figure TWI615405BD00459

<210> 279 <210> 279

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 279

Figure TWI615405BD00460
<400> 279
Figure TWI615405BD00460

<210> 280 <210> 280

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 280

Figure TWI615405BD00461
<400> 280
Figure TWI615405BD00461

<210> 281 <210> 281

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 281

Figure TWI615405BD00462
<400> 281
Figure TWI615405BD00462

<210> 282 <210> 282

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 282

Figure TWI615405BD00463
<400> 282
Figure TWI615405BD00463

<210> 283 <210> 283

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 283

Figure TWI615405BD00464
<400> 283
Figure TWI615405BD00464

<210> 284 <210> 284

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 284

Figure TWI615405BD00465
<400> 284
Figure TWI615405BD00465

<210> 285 <210> 285

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 285

Figure TWI615405BD00466
<400> 285
Figure TWI615405BD00466

<210> 286 <210> 286

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 286

Figure TWI615405BD00467
<400> 286
Figure TWI615405BD00467

<210> 287 <210> 287

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 287

Figure TWI615405BD00468
<400> 287
Figure TWI615405BD00468

<210> 288 <210> 288

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 288

Figure TWI615405BD00469
<400> 288
Figure TWI615405BD00469

<210> 289 <210> 289

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 289

Figure TWI615405BD00470
<400> 289
Figure TWI615405BD00470

<210> 290 <210> 290

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 290

Figure TWI615405BD00471
<400> 290
Figure TWI615405BD00471

<210> 291 <210> 291

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 291

Figure TWI615405BD00472
<400> 291
Figure TWI615405BD00472

<210> 292 <210> 292

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 292

Figure TWI615405BD00473
<400> 292
Figure TWI615405BD00473

<210> 293 <210> 293

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 293

Figure TWI615405BD00474
<400> 293
Figure TWI615405BD00474

<210> 294 <210> 294

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 294

Figure TWI615405BD00475
<400> 294
Figure TWI615405BD00475

<210> 295 <210> 295

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 295

Figure TWI615405BD00476
<400> 295
Figure TWI615405BD00476

<210> 296 <210> 296

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 296

Figure TWI615405BD00477
<400> 296
Figure TWI615405BD00477

<210> 297 <210> 297

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 297

Figure TWI615405BD00478
<400> 297
Figure TWI615405BD00478

<210> 298 <210> 298

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 298

Figure TWI615405BD00479
<400> 298
Figure TWI615405BD00479

<210> 299 <210> 299

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 299

Figure TWI615405BD00480
<400> 299
Figure TWI615405BD00480

<210> 300 <210> 300

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 300

Figure TWI615405BD00481
<400> 300
Figure TWI615405BD00481

<210> 301 <210> 301

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 301

Figure TWI615405BD00482
<400> 301
Figure TWI615405BD00482

<210> 302 <210> 302

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 302

Figure TWI615405BD00483
<400> 302
Figure TWI615405BD00483

<210> 303 <210> 303

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 303

Figure TWI615405BD00484
<400> 303
Figure TWI615405BD00484

<210> 304 <210> 304

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 304

Figure TWI615405BD00485
<400> 304
Figure TWI615405BD00485

<210> 305 <210> 305

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 305

Figure TWI615405BD00486
<400> 305
Figure TWI615405BD00486

<210> 306 <210> 306

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 306

Figure TWI615405BD00487
<400> 306
Figure TWI615405BD00487

<210> 307 <210> 307

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 307

Figure TWI615405BD00488
<400> 307
Figure TWI615405BD00488

<210> 308 <210> 308

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 308

Figure TWI615405BD00489
<400> 308
Figure TWI615405BD00489

<210> 309 <210> 309

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 309

Figure TWI615405BD00490
<400> 309
Figure TWI615405BD00490

<210> 310 <210> 310

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 310

Figure TWI615405BD00491
<400> 310
Figure TWI615405BD00491

<210> 311 <210> 311

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 311

Figure TWI615405BD00492
<400> 311
Figure TWI615405BD00492

<210> 312 <210> 312

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 312

Figure TWI615405BD00493
<400> 312
Figure TWI615405BD00493

<210> 313 <210> 313

<211> 30 <211> 30

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 313

Figure TWI615405BD00494
<400> 313
Figure TWI615405BD00494

<210> 314 <210> 314

<211> 14 <211> 14

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 314

Figure TWI615405BD00495
<400> 314
Figure TWI615405BD00495

<210> 315 <210> 315

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 315

Figure TWI615405BD00496
<400> 315
Figure TWI615405BD00496

<210> 316 <210> 316

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 316

Figure TWI615405BD00497
<400> 316
Figure TWI615405BD00497

<210> 317 <210> 317

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 317

Figure TWI615405BD00498
<400> 317
Figure TWI615405BD00498

<210> 318 <210> 318

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 318

Figure TWI615405BD00499
<400> 318
Figure TWI615405BD00499

<210> 319 <210> 319

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 319

Figure TWI615405BD00500
<400> 319
Figure TWI615405BD00500

<210> 320 <210> 320

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 320

Figure TWI615405BD00501
Figure TWI615405BD00502
<400> 320
Figure TWI615405BD00501
Figure TWI615405BD00502

<210> 321 <210> 321

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 321

Figure TWI615405BD00503
<400> 321
Figure TWI615405BD00503

<210> 322 <210> 322

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 322

Figure TWI615405BD00504
<400> 322
Figure TWI615405BD00504

<210> 323 <210> 323

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 323

Figure TWI615405BD00505
<400> 323
Figure TWI615405BD00505

<210> 324 <210> 324

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 324

Figure TWI615405BD00506
<400> 324
Figure TWI615405BD00506

<210> 325 <210> 325

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 325

Figure TWI615405BD00507
<400> 325
Figure TWI615405BD00507

<210> 326 <210> 326

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 326

Figure TWI615405BD00508
<400> 326
Figure TWI615405BD00508

<210> 327 <210> 327

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 327

Figure TWI615405BD00509
<400> 327
Figure TWI615405BD00509

<210> 328 <210> 328

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 328

Figure TWI615405BD00510
<400> 328
Figure TWI615405BD00510

<210> 329 <210> 329

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 329

Figure TWI615405BD00511
<400> 329
Figure TWI615405BD00511

<210> 330 <210> 330

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 330

Figure TWI615405BD00512
<400> 330
Figure TWI615405BD00512

<210> 331 <210> 331

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 331

Figure TWI615405BD00513
<400> 331
Figure TWI615405BD00513

<210> 332 <210> 332

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 332

Figure TWI615405BD00514
<400> 332
Figure TWI615405BD00514

<210> 333 <210> 333

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 333

Figure TWI615405BD00515
<400> 333
Figure TWI615405BD00515

<210> 334 <210> 334

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 334

Figure TWI615405BD00516
<400> 334
Figure TWI615405BD00516

<210> 335 <210> 335

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 335

Figure TWI615405BD00517
<400> 335
Figure TWI615405BD00517

<210> 336 <210> 336

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 336

Figure TWI615405BD00518
<400> 336
Figure TWI615405BD00518

<210> 337 <210> 337

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 337

Figure TWI615405BD00519
<400> 337
Figure TWI615405BD00519

<210> 338 <210> 338

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 338

Figure TWI615405BD00520
<400> 338
Figure TWI615405BD00520

<210> 339 <210> 339

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 339

Figure TWI615405BD00521
<400> 339
Figure TWI615405BD00521

<210> 340 <210> 340

<211> 22 <211> 22

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 340

Figure TWI615405BD00522
<400> 340
Figure TWI615405BD00522

<210> 341 <210> 341

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 341

Figure TWI615405BD00523
<400> 341
Figure TWI615405BD00523

<210> 342 <210> 342

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 342

Figure TWI615405BD00524
<400> 342
Figure TWI615405BD00524

<210> 343 <210> 343

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 343

Figure TWI615405BD00525
<400> 343
Figure TWI615405BD00525

<210> 344 <210> 344

<211> 22 <211> 22

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 344

Figure TWI615405BD00526
<400> 344
Figure TWI615405BD00526

<210> 345 <210> 345

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 345

Figure TWI615405BD00527
<400> 345
Figure TWI615405BD00527

<210> 346 <210> 346

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 346

Figure TWI615405BD00528
<400> 346
Figure TWI615405BD00528

<210> 347 <210> 347

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 347

Figure TWI615405BD00529
<400> 347
Figure TWI615405BD00529

<210> 348 <210> 348

<211> 21 <211> 21

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 348

Figure TWI615405BD00530
<400> 348
Figure TWI615405BD00530

<210> 349 <210> 349

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 349

Figure TWI615405BD00531
<400> 349
Figure TWI615405BD00531

<210> 350 <210> 350

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 350

Figure TWI615405BD00532
<400> 350
Figure TWI615405BD00532

<210> 351 <210> 351

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 351

Figure TWI615405BD00533
<400> 351
Figure TWI615405BD00533

<210> 352 <210> 352

<211> 22 <211> 22

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 352

Figure TWI615405BD00534
<400> 352
Figure TWI615405BD00534

<210> 353 <210> 353

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 353

Figure TWI615405BD00535
<400> 353
Figure TWI615405BD00535

<210> 354 <210> 354

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 354

Figure TWI615405BD00536
<400> 354
Figure TWI615405BD00536

<210> 355 <210> 355

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 355

Figure TWI615405BD00537
<400> 355
Figure TWI615405BD00537

<210> 356 <210> 356

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 356

Figure TWI615405BD00538
<400> 356
Figure TWI615405BD00538

<210> 357 <210> 357

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 357

Figure TWI615405BD00539
<400> 357
Figure TWI615405BD00539

<210> 358 <210> 358

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 358

Figure TWI615405BD00540
<400> 358
Figure TWI615405BD00540

<210> 359 <210> 359

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 359

Figure TWI615405BD00541
<400> 359
Figure TWI615405BD00541

<210> 360 <210> 360

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 360

Figure TWI615405BD00542
<400> 360
Figure TWI615405BD00542

<210> 361 <210> 361

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 361

Figure TWI615405BD00543
<400> 361
Figure TWI615405BD00543

<210> 362 <210> 362

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 362

Figure TWI615405BD00544
<400> 362
Figure TWI615405BD00544

<210> 363 <210> 363

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 363

Figure TWI615405BD00545
<400> 363
Figure TWI615405BD00545

<210> 364 <210> 364

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 364

Figure TWI615405BD00546
Figure TWI615405BD00547
<400> 364
Figure TWI615405BD00546
Figure TWI615405BD00547

<210> 365 <210> 365

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 365

Figure TWI615405BD00548
<400> 365
Figure TWI615405BD00548

<210> 366 <210> 366

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 366

Figure TWI615405BD00549
<400> 366
Figure TWI615405BD00549

<210> 367 <210> 367

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 367

Figure TWI615405BD00550
<400> 367
Figure TWI615405BD00550

<210> 368 <210> 368

<211> 22 <211> 22

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 368

Figure TWI615405BD00551
<400> 368
Figure TWI615405BD00551

<210> 369 <210> 369

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 369

Figure TWI615405BD00552
<400> 369
Figure TWI615405BD00552

<210> 370 <210> 370

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 370

Figure TWI615405BD00553
Figure TWI615405BD00554
<400> 370
Figure TWI615405BD00553
Figure TWI615405BD00554

<210> 371 <210> 371

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 371

Figure TWI615405BD00555
<400> 371
Figure TWI615405BD00555

<210> 372 <210> 372

<211> 22 <211> 22

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 372

Figure TWI615405BD00556
<400> 372
Figure TWI615405BD00556

<210> 373 <210> 373

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 373

Figure TWI615405BD00557
<400> 373
Figure TWI615405BD00557

<210> 374 <210> 374

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 374

Figure TWI615405BD00558
<400> 374
Figure TWI615405BD00558

<210> 375 <210> 375

<211> 10 <211> 10

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 375

Figure TWI615405BD00559
<400> 375
Figure TWI615405BD00559

<210> 376 <210> 376

<211> 23 <211> 23

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 376

Figure TWI615405BD00560
<400> 376
Figure TWI615405BD00560

<210> 377 <210> 377

<211> 15 <211> 15

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 377

Figure TWI615405BD00561
<400> 377
Figure TWI615405BD00561

<210> 378 <210> 378

<211> 32 <211> 32

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 378

Figure TWI615405BD00562
<400> 378
Figure TWI615405BD00562

<210> 379 <210> 379

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 379

Figure TWI615405BD00563
<400> 379
Figure TWI615405BD00563

<210> 380 <210> 380

<211> 11 <211> 11

<212> PRT <212> PRT

<213> 智人 <213> Homo sapiens

<400> 380

Figure TWI615405BD00564
<400> 380
Figure TWI615405BD00564

<210> 381 <210> 381

<211> 119 <211> 119

<212> PRT <212> PRT

<213> 人工序列 <213> Artificial sequence

<220> <220>

<223> 人工序列之描述:合成多肽 <223> Description of artificial sequence: synthetic peptides

<400> 381

Figure TWI615405BD00565
Figure TWI615405BD00566
<400> 381
Figure TWI615405BD00565
Figure TWI615405BD00566

Claims (17)

一種結合蛋白,其包含第一多肽鏈及第二多肽鏈,其中該第一多肽鏈包含第一VD1-X1-VD2-C-X2,其中:VD1為第一重鏈可變域;VD2為第二重鏈可變域;C為重鏈恆定域;X1為連接子,限制條件為其不為CH1;且X2為Fc區;且其中該第二多肽鏈包含第二VD1-X1-VD2-C,其中:VD1為第一輕鏈可變域;VD2為第二輕鏈可變域;C為輕鏈恆定域;且X1為連接子,限制條件為其不為CH1;且其中,在該第一多肽鏈中,VD1包含SEQ ID NO:204之胺基酸序列;X1包含SEQ ID NO:33之胺基酸序列;VD2包含SEQ ID NO:213之胺基酸序列;且該重鏈恆定域係包含鉸鏈區突變之IgG1重鏈恆定區;其中,在該第二多肽鏈中,VD1包含SEQ ID NO:238之胺基酸序列;X1包含SEQ ID NO:35之胺基酸序列;且VD2包含SEQ ID NO:216之胺基酸序列;且其中該結合蛋白結合人類IL-1β及人類IL-1α。 A binding protein comprising a first polypeptide chain and a second polypeptide chain, wherein the first polypeptide chain comprises a first VD1-X1-VD2-C-X2, wherein: VD1 is a first heavy chain variable domain; VD2 is the second heavy chain variable domain; C is the heavy chain constant domain; X1 is the linker, with the limitation that it is not CH1; and X2 is the Fc region; and wherein the second polypeptide chain contains the second VD1-X1- VD2-C, where: VD1 is the first light chain variable domain; VD2 is the second light chain variable domain; C is the light chain constant domain; and X1 is a linker with the restriction that it is not CH1; and wherein, In the first polypeptide chain, VD1 includes the amino acid sequence of SEQ ID NO: 204; X1 includes the amino acid sequence of SEQ ID NO: 33; VD2 includes the amino acid sequence of SEQ ID NO: 213; and the The heavy chain constant domain is an IgG1 heavy chain constant region comprising a mutation in the hinge region; wherein, in the second polypeptide chain, VD1 comprises the amino acid sequence of SEQ ID NO: 238; X1 comprises the amino group of SEQ ID NO: 35 Acid sequence; and VD2 comprises the amino acid sequence of SEQ ID NO: 216; and wherein the binding protein binds human IL-1β and human IL-1α. 一種結合蛋白,其包含第一多肽鏈及第二多肽鏈,其中該第一多肽鏈包含第一VD1-X1-VD2-C-X2,其中: VD1為第一重鏈可變域;VD2為第二重鏈可變域;C為重鏈恆定域;X1為連接子,限制條件為其不為CH1;且X2為Fc區;且其中該第二多肽鏈包含第二VD1-X1-VD2-C,其中:VD1為第一輕鏈可變域;VD2為第二輕鏈可變域;C為輕鏈恆定域;且X1為連接子,限制條件為其不為CH1;且其特徵在於:該第一多肽鏈中之VD1-X1-VD2係SEQ ID NO:212,且該第一多肽鏈中之C-X2係SEQ ID NO:214;該第二多肽鏈中之VD1-X1-VD2係SEQ ID NO:215,且該第二多肽鏈中之C係SEQ ID NO:5;且其中該結合蛋白結合人類IL-1β及人類IL-1α。 A binding protein comprising a first polypeptide chain and a second polypeptide chain, wherein the first polypeptide chain comprises a first VD1-X1-VD2-C-X2, wherein: VD1 is the variable domain of the first heavy chain; VD2 is the variable domain of the second heavy chain; C is the constant domain of the heavy chain; X1 is a linker with the restriction that it is not CH1; and X2 is the Fc region; and wherein the second The polypeptide chain includes a second VD1-X1-VD2-C, where: VD1 is the first light chain variable domain; VD2 is the second light chain variable domain; C is the light chain constant domain; and X1 is a linker, limiting Provided that it is not CH1; and is characterized in that VD1-X1-VD2 in the first polypeptide chain is SEQ ID NO: 212, and C-X2 in the first polypeptide chain is SEQ ID NO: 214 ; VD1-X1-VD2 in the second polypeptide chain is SEQ ID NO: 215, and C in the second polypeptide chain is SEQ ID NO: 5; and wherein the binding protein binds human IL-1β and human IL-1α. 如請求項1之結合蛋白,其中該鉸鏈區突變包含L234A。 The binding protein of claim 1, wherein the hinge region mutation comprises L234A. 如請求項1之結合蛋白,其中該鉸鏈區突變包含L235A。 The binding protein of claim 1, wherein the hinge region mutation comprises L235A. 如請求項1之結合蛋白,其中該鉸鏈區突變包含L234A及L235A。 The binding protein of claim 1, wherein the hinge region mutation comprises L234A and L235A. 如請求項1至5中任一項之結合蛋白,其特徵在於該結合蛋白包含兩個第一多肽鏈及兩個第二多肽鏈。 The binding protein according to any one of claims 1 to 5, characterized in that the binding protein comprises two first polypeptide chains and two second polypeptide chains. 一種醫藥組合物,其包含如請求項1至6中任一項之結合蛋白,及醫藥學上可接受之載劑。 A pharmaceutical composition comprising a binding protein according to any one of claims 1 to 6, and a pharmaceutically acceptable carrier. 如請求項7之醫藥組合物,其進一步包含至少一種其他藥劑。 The pharmaceutical composition of claim 7, further comprising at least one other agent. 如請求項8之醫藥組合物,其中該其他藥劑係選自由以下組成之 群:治療劑;顯影劑;細胞毒性劑;血管生成抑制劑;激酶抑制劑;共刺激分子阻斷劑;黏著分子阻斷劑;抗細胞激素抗體或其功能片段;甲胺喋呤(methotrexate);環孢素(cyclosporin);雷帕黴素(rapamycin);FK506;可偵測標記或報導體;TNF拮抗劑;抗風濕藥;肌肉鬆弛劑;麻醉藥;非類固醇消炎藥(NSAID);止痛劑;麻醉劑;鎮靜劑;局部麻醉劑;神經肌肉阻斷劑;抗微生物劑;抗牛皮癬藥;皮質類固醇;同化類固醇;紅血球生成素(erythropoietin);免疫劑(immunization);免疫球蛋白;免疫抑制劑;生長激素;激素替代藥;放射性藥物;抗抑鬱劑;抗精神病藥;興奮劑;哮喘藥物;β促效劑;吸入型類固醇;腎上腺素或其類似物;細胞激素;及細胞激素拮抗劑。 The pharmaceutical composition of claim 8, wherein the other agent is selected from the group consisting of Group: therapeutic agents; imaging agents; cytotoxic agents; angiogenesis inhibitors; kinase inhibitors; costimulatory molecule blockers; adhesion molecule blockers; anti-cytokine antibodies or functional fragments thereof; methotrexate Cyclosporin; rapamycin; FK506; detectable markers or reporters; TNF antagonists; antirheumatic drugs; muscle relaxants; anesthetics; nonsteroidal anti-inflammatory drugs (NSAID); analgesics Agents; narcotics; sedatives; local anaesthetics; neuromuscular blocking agents; antimicrobials; anti-psoriasis drugs; corticosteroids; anabolic steroids; erythropoietin; immunity; immunoglobulins; immunosuppressants; Growth hormones; hormone replacement drugs; radiopharmaceuticals; antidepressants; antipsychotics; stimulants; asthma drugs; beta agonists; inhaled steroids; epinephrine or its analogs; cytokines; and cytokine antagonists. 一種經分離核酸,其包含編碼如請求項1至6中任一項之結合蛋白。 An isolated nucleic acid comprising a binding protein as set forth in any one of claims 1 to 6. 一種載體,其包含如請求項10之經分離核酸。 A vector comprising an isolated nucleic acid as claimed in claim 10. 一種宿主細胞,其包含如請求項11之載體。 A host cell comprising a vector as claimed in claim 11. 一種製備結合蛋白之方法,其包含在足以產生該結合蛋白之條件下於培養基中培養如請求項12之宿主細胞。 A method for preparing a binding protein comprising culturing a host cell as claimed in claim 12 in a medium under conditions sufficient to produce the binding protein. 一種降低人類IL-1活性之活體外方法,其包含使人類IL-1蛋白與如請求項1至6中任一項之結合蛋白接觸,以便降低人類IL-1蛋白活性。 An in vitro method for reducing human IL-1 activity, comprising contacting a human IL-1 protein with a binding protein according to any one of claims 1 to 6 in order to reduce human IL-1 protein activity. 一種如請求項1至6中任一項之結合蛋白之用途,其係用於製造在罹患IL-1活性為有害之病症的人類個體中降低人類IL-1活性的藥物,其中該病症係發炎病症。 Use of a binding protein according to any one of claims 1 to 6 for the manufacture of a medicament for reducing human IL-1 activity in a human individual suffering from a condition in which IL-1 activity is harmful, wherein the condition is inflammation Illness. 一種如請求項1至6中任一項之結合蛋白之用途,其係用於製造用以治療個體之IL-1活性為有害之病症的藥物,其中該病症係發炎病症。 A use of a binding protein according to any one of claims 1 to 6 for the manufacture of a medicament for treating a condition in which IL-1 activity of an individual is harmful, wherein the condition is an inflammatory condition. 如請求項16之用途,其中該病症係選自由以下組成之群:類風濕性關節炎;骨關節炎;幼年型慢性關節炎;敗血性關節炎;萊姆關節炎(Lyme arthritis);牛皮癬性關節炎及反應性關節炎。 The use according to claim 16, wherein the disorder is selected from the group consisting of rheumatoid arthritis; osteoarthritis; juvenile chronic arthritis; septic arthritis; Lyme arthritis; psoriasis Arthritis and reactive arthritis.
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